Fond du Lac, WI —
OSHA Injury Report: Agnesian St. Francis Home
Injury · Days away from work
At a glance
On , an injury at Agnesian St. Francis Home in Fond du Lac, WI 54935 resulted in days away from work. Employee was assisted Living Representative 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
- resident room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 35
- Days restricted or transferred
- 1
Before the incident
Writer knelt to take residents support stockings off and lotion legs putting cotton socks and shoes back on. When arising to stand using my right leg my right ankle twisted causing a crunching sound and searing pain to my whole ankle.
What happened
Writer knelt to take residents support stockings off and lotion legs putting cotton socks and shoes back on. When arising to stand using my right leg my right ankle twisted causing a crunching sound and searing pain to my whole ankle.
Injury or illness
Fracture
Object or substance involved
Misc. Causes Other Than Physical Cause of Injury
Summary line
Writer knelt to take residents support stockings off and lotion legs putting cotton socks and shoes back on. When arising to stand using my right leg my right ankle twisted causing a crunching sound and searing pain to my whole ankle.
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
- Avg employees
- 191
- Total hours worked
- 279848
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC177228
When (timing detail)
- Date of incident
- Shift started
- 13:57
- Time of incident
- 16:30
- Filing year
- 2024
- Submitted
- 08FEB2025:02:53:00
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.