Fond du Lac, WI ·
OSHA Injury Report: Edenbrook of Fond du Lac
Injury · Job transfer or restriction
At a glance
On , an injury at Edenbrook of Fond du Lac in 265 South National Avenue, Fond du Lac, WI 54935 resulted in job transfer or restriction. Employee was CNA in nursing homes.
Where did this happen?
- Establishment
- Edenbrook of Fond du Lac
- Parent company
- Eden Senior Care
- Street
- 265 South National Avenue
- City
- Fond du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- sbreakroom service hallway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 43
Before the incident
was going on break
What happened
walking on floor and slipped in a puddle of water on the floor
Injury or illness
injured shoulder from fall due to slip
Object or substance involved
none
Summary line
slip in puddle of water
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing homes
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 98
- Hours worked at this establishment (2024 total)
- 121,267
- EIN
- 831930342
- Establishment ID
- 1121737
- Employer case #
- 23-7
When (timing detail)
- Date of incident
- Shift started
- 22:30
- Time of incident
- 01:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-30
More injuries at Edenbrook of Fond du Lac
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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