GENESIS HEALTHCARE

According to U.S. Department of Labor enforcement records, GENESIS HEALTHCARE — a nursing care facilities (skilled nursing facilities) facility located at 33 ROGERS STREET, LEWISTON, ME 04240 — was the subject of a formal OSHA inspection that resulted in 11 citation(s) and cumulative proposed penalties of $52,665.50. The inspection case was opened on 2024-11-18.

Cumulative penalties significantly exceed the national median for OSHA enforcement actions. The penalty amount suggests multiple high-gravity citations, indicating conditions that presented a substantial probability of death or serious physical harm to employees.

BLS Injury Data: According to the Bureau of Labor Statistics (2022), this industry sector has an occupational injury rate of 4.5 per 100 full-time workers — 67% above the national average of 2.7. The sector fatality rate is 0.8 per 100,000 workers.

Industry Benchmark: The total penalty of $52,665.50 is more than 20.0× the national average of $2,638.83 for facilities in the Health Care sector (NAICS 623110). This sector encompasses 27,508 inspected facilities nationwide with aggregate penalties totaling $72.6M.

State Context: Within ME, this facility's penalty places it at the 99th percentile among 16,330 inspected facilities. The statewide average penalty is $3,022.91.

Citation Analysis: The inspection produced 11 citations spanning 2 distinct OSHA regulatory standards. The citation breakdown includes: 6 serious — A workplace hazard that could cause death or serious physical harm exists, and the employer knew or should have known about the condition. 3 other-than-serious — The violation has a direct relationship to job safety and health but is unlikely to cause death or serious physical harm. 2 repeat — A substantially similar violation was found during a previous inspection and the original citation has become a final order.

Enforcement Timeline: Citations were issued beginning March 25, 2025 with the latest abatement deadline set for July 30, 2025. Of the 11 total citations, 0 (0%) have been marked as abated in DOL records, which may indicate ongoing compliance gaps requiring further regulatory attention.

Penalty Assessment: The cumulative penalty of $52,665.50 reflects OSHA's gravity-based penalty calculation methodology, which considers the severity of potential injury, the probability of occurrence, the employer's size, good faith, and violation history. The per-citation average of $4,787.77 falls within the standard penalty range.

The enforcement profile for Genesis Healthcare’s Lewiston facility reveals a troubling pattern of recidivism regarding respiratory protection and bloodborne pathogen protocols, which are foundational to safety in the skilled nursing industry (NAICS 623110). The assessment of $52,665.50 in penalties is notably high for this sector, driven primarily by "Repeat" violations of 29 CFR 1910.134. Specifically, the failure to conduct mandatory fit testing and ensure proper seal checks indicates a systemic breakdown in the facility’s respiratory protection program. For frontline healthcare workers, these lapses represent a tangible risk of exposure to airborne infectious diseases, as a respirator that has not been professionally fitted provides only a false sense of security. The presence of multiple citations under 1910.1030 further underscores a failure to maintain a robust Exposure Control Plan. While some items carried no immediate monetary penalty, their inclusion alongside repeat respiratory violations suggests that management failed to internalize previous OSHA corrective actions. This is not an instance of isolated negligence but rather a programmatic failure to sustain compliance with health standards designed to prevent needle-sticks and pathogen transmission. From a legal and regulatory standpoint, the "Repeat" designation significantly elevates the facility’s risk profile, signaling to OSHA that previous warnings were insufficient to catalyze permanent behavioral or administrative changes in safety culture.