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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: AUTUMN CARE OF STATESVILLE

Injury · Job transfer or restriction

On , an injury at AUTUMN CARE OF STATESVILLE in STATESVILLE, NC 28625 resulted in job transfer or restriction. Employee was lPN in skilled nursing facilities.

Establishment
AUTUMN CARE OF STATESVILLE
Parent company
SABER HEALTH
Street
2001 VAN HAVEN DRIVE
City
STATESVILLE
State
NC
ZIP
28625
On-site location
BACK HALL
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
65

WALKING

WALKING FROM BREAKROOM FOOT SLIPPED AND FELL ON RIGHT KNEE

CONTUSION OF RIGHT KNEE

FLOOR

RIGHT KNEE

Job description
LPN
SOC code
29-2061 — Licensed Practical and Licensed Vocational Nurses
NAICS code
623110 — Skilled nursing facilities
NAICS vintage
2012
Avg employees
184
Total hours worked
226991
Establishment ID
865145
Employer case #
1
Date of incident
Shift started
7:00
Time of incident
12:45
Filing year
2024
Submitted
07FEB2025:17:56:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.