MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH RD., SAN ANDREAS, CA 95249 · NAICS 622110 General Medical and Surgical Hospitals
Having inspection records is common for businesses in regulated industries. Data and methodology
Inspection records
Sep 5, 2017#342617164Sep 5, 2017Accident (A) · Partial scope, Safety#342617164$8002 viol.2 violations$800 in penalties
Inspection #342617164
Dates
- Opened
- Sep 5, 2017
- Closing Conference Date
- Jan 3, 2018
- Final Order
- Jan 16, 2018
- Closed
- Mar 22, 2018
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 325
- Related Activity
- 1 accident
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 2 other-than-serious
- Initial Penalties
- $1,600
- Penalties on Record
- $800
- Site Address
- 768 Mountain Ranch Rd., San Andreas, CA 95249
- Industry
- 622110 General Medical and Surgical Hospitals
Accident Inspection: This inspection record is categorized as an accident inspection in the U.S. Department of Labor OSHA enforcement data. Employers must report work-related fatalities within 8 hours, and work-related inpatient hospitalizations, amputations, or losses of an eye within 24 hours. An accident-related inspection does not by itself determine fault.
Incident Investigation Summaries
Incident investigation summaries linked to this inspection through OSHA's accident and injury enforcement data. These summaries describe the reported incident. The enforcement outcome for the linked inspection is in the inspection details above.
Employee falls from ladder and breaks both ankles
Violations
Violation list (2 of 2 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 3210(A) Guardrails at Elevated Locations | Other | 1 | 1 | $800 | $400 | - | Jan 16, 2018 | |
| 01002 | 3212(A)(1) Floor Openings, Floor Holes, Skylights and Roofs | Other | 1 | 1 | $800 | $400 | - | Jan 16, 2018 |
Penalty amounts may differ from final amounts after settlement or judicial review. How to read these records
About these records
A company page groups inspections with the same normalized employer name, city and state; it is not a legal-entity identifier (how pages are grouped).
This page displays public OSHA enforcement data. Status text follows the DOL inspection record first and may include citation-level context when the inspection feed and citation records are out of sync. Penalty amounts shown reflect the latest penalty amounts on record in the DOL database and may differ from initial assessments or final amounts. This is not an official OSHA resource.
OSHA's public enforcement data does not publish a "guilty" or "not guilty" field for inspections. The closest outcome fields available are the citation counts, penalty amounts, contest dates, final-order dates, and the inspection close date shown on this page. How to interpret these status fields. How initial and current penalties are recorded.
OSHA may publish multiple citation rows in the same inspection with the same standard and penalty fields. Separate rows can still differ in OSHA metadata such as citation identifier, recorded instance count, exposed workers, or gravity value. Contest and Final Order columns show citation-level dates from OSHA's enforcement record. A dash means OSHA's record does not currently show that activity for the citation.
Source: U.S. Department of Labor OSHA incident investigation data (`osha_accident` + `osha_accident_injury`). Linked via `rel_insp_nr` to the inspection activity number (exact government key). Injury, body part, source and event values are OSHA's own codes. OSHA states that these fields are not coded according to the requirements under the Occupational Injury and Illness Classification System (OIICS). Only the values present in the OSHA record are listed; an incident with no value that resolves in OSHA's code table shows "Injury details not recorded". Where a record covers several people, each field lists every value recorded across them.
Understanding These Penalties
The maximum penalty for a serious violation in 2025 is $16,550 per violation. For willful violations, the range is $11,823 to $165,514. The current penalty column shows the latest amount on record in OSHA's database for each citation. When the current penalty differs from the initial penalty, OSHA's records show that the amount changed during the enforcement process, but this page does not determine the specific reason for each change. Penalty amounts are set by OSHA and adjusted annually for inflation.
Standards cited
Industry comparison
Hospitals, 6,817 employers with OSHA inspections. Arithmetic from DOL records.
BLS 2024 survey: general medical and surgical hospitals reported 5.1 injuries and illnesses per 100 full-time workers (total recordable cases, national, private industry; relative standard error 0.5%; NAICS 6221 level). This is an industry-wide average from a federal survey, not a measurement of this establishment. Source