STATESVILLE, NC ·
OSHA Injury Report: AUTUMN CARE OF STATESVILLE
Injury · Other recordable case
At a glance
On , an injury at AUTUMN CARE OF STATESVILLE in 2001 VAN HAVEN DRIVE, STATESVILLE, NC 28625 resulted in other recordable case. Employee was therapy manger 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
- WEST NURSE STATION
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING DOWN HALL
What happened
WALKING WITH VISITOR WHEN THEY TRIPPED AND FELL ON TO HER LEFT ARM LEFT KNEE NECK AND RIGHT HIP FROM VISITOR FALLING ON STAFF
Injury or illness
SPRAIN OF SACROILIAC REGION CONTUSION OF LEFT FOOT
Object or substance involved
VISITOR FALLING ONTO STAFF
Summary line
LEFT ARM LEFT KNEE NECK AND RIGHT HIP FROM VISITOR FALLING ON STAFF
Employee and industry
- Job description
- THERAPY MANGER
- SOC code
- 9999: Uncoded
- 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 #
- 17
When (timing detail)
- Date of incident
- Shift started
- 08:30
- Time of incident
- 15:00
- 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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