Fond du Lac, WI · 2024-10-11

OSHA Injury Report: Agnesian St. Francis Home

Injury · Other recordable case

At a glance

On 2024-10-11, an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in other recordable case. Employee was assisted Living Representative LTC in nursing Care Facilities Skilled Nursing Facilities.

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Where did this happen?

Establishment: Agnesian St. Francis Home
Parent company: SSM Health
Street: 33 Everett Street
City: Fond du Lac
State: WI
ZIP: 54935
On-site location: patient room

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

I was changing the needle on Sr. blood sugar stick. When I took the needle off it poked me on my pointer finger

What happened

contaminated needlestick when changing blood sugar stick for resident

Injury or illness

Puncture

Object or substance involved

Contaminated

Summary line

I was changing the needle on Sr. blood sugar stick. When I took the needle off it poked me on my pointer finger

Employee and industry

Job description: Assisted Living Representative LTC
SOC code: 31-1131: Nursing Assistants
NAICS code: 623110: Nursing Care Facilities Skilled Nursing Facilities
NAICS vintage: 2012
Employees at this establishment (2024 average): 191
Hours worked at this establishment (2024 total): 279,848
EIN: 391029998
Establishment ID: 662786
Employer case #: WC176677

When (timing detail)

Date of incident: 2024-10-11
Shift started: 06:00
Time of incident: 07:45
Filing year: 2024
Submitted to OSHA: 2025-02-08

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View Agnesian St. Francis Home's full OSHA safety record →

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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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