STATESVILLE, NC —
OSHA Injury Report: AUTUMN CARE OF STATESVILLE
Injury · Job transfer or restriction
At a glance
On , an injury at AUTUMN CARE OF STATESVILLE in STATESVILLE, NC 28625 resulted in job transfer or restriction. Employee was dIETARY AIDE in skilled nursing facilities.
Where did this happen?
- Establishment
- AUTUMN CARE OF STATESVILLE
- Parent company
- SABER HEALTH
- Street
- 2001 VAN HAVEN DRIVE
- City
- STATESVILLE
- State
- NC
- ZIP
- 28625
- On-site location
- KITCHEN
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
WALKING TO DISH ROOM
What happened
SLIPPED AND FELL LANDED ON BACK RIGHT SIDE
Injury or illness
CONTUSION OF RIGHT FOREARM SHOULDER AND RIGHT HAND
Object or substance involved
FLOOR
Summary line
SLIPPED AND FELL LANDED ON BACK RIGHT SIDE
Employee and industry
- Job description
- DIETARY AIDE
- SOC code
- 31-9099 — Healthcare Support Workers, All Other
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2012
- Avg employees
- 184
- Total hours worked
- 226991
- Establishment ID
- 865145
- Employer case #
- 12
When (timing detail)
- Date of incident
- Shift started
- 5:30
- Time of incident
- 8:55
- Filing year
- 2024
- Submitted
- 07FEB2025:18:30:00
Source
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.