Fond du Lac, WI ·
OSHA Injury Report: Agnesian St. Francis Home
Injury · Job transfer or restriction
At a glance
On , an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in job transfer or restriction. Employee was certified Nursing Assistant LTC in nursing Care Facilities Skilled Nursing Facilities.
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
- meeting
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
All staff was asked to sit on a scrunched up towel to help staff understand what are residents feel. We sat on the towel for about half an hour. After the staff meeting I went to the bathroom and decent amount of blood came out of my bottom.
What happened
EE asked to sit on scrunched towel during meeting causing rectum issues
Injury or illness
All Other
Object or substance involved
Repetitive Motion
Summary line
All staff was asked to sit on a scrunched up towel to help staff understand what are residents feel. We sat on the towel for about half an hour. After the staff meeting I went to the bathroom and decent amount of blood came out of my bottom.
Employee and industry
- Job description
- Certified Nursing Assistant 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 #
- WC176711
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 14:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-08
More injuries at Agnesian St. Francis Home
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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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