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 2001 VAN HAVEN DRIVE, STATESVILLE, NC 28625 resulted in job transfer or restriction. Employee was RN 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
- RESIDENT ROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
WALKING INTO RESIDENT ROOM
What happened
CATHETER BAG ON FLOOR NOT SECURED PROPERLY CAUSING LEAKAGE AND SLIPPED IN URINE AND FELL TO KNEES
Injury or illness
CONTUSION BOTH KNEES AND CHEST WALL AND LUMBAR STRAIN
Object or substance involved
FLOOR
Summary line
FELL ON BOTH KNEES
Employee and industry
- Job description
- RN
- SOC code
- 29-1141: Registered Nurses
- NAICS code
- 623110: Skilled nursing facilities
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 184
- Hours worked at this establishment (2024 total)
- 226,991
- Establishment ID
- 865145
- Employer case #
- 15
When (timing detail)
- Date of incident
- Shift started
- 19:00
- Time of incident
- 22:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-07
More injuries at Autumn Care of Statesville
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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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