Deckerville, MI —
OSHA Injury Report: Autumnwood of Deckerville
Injury · Other recordable case
At a glance
On , an injury at Autumnwood of Deckerville in Deckerville, MI 48427 resulted in other recordable case. Employee was cook in nursing Care Facilities Skilled Nursing Facilities.
Where did this happen?
- Establishment
- Autumnwood of Deckerville
- Parent company
- Ciena Healthcare Management Inc.
- Street
- 3387 Ella Street
- City
- Deckerville
- State
- MI
- ZIP
- 48427
- On-site location
- Patient or Exam Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning
What happened
EE states she was in the kitchen putting a pan up on a shelf when the pan fell and hit her nose. EE states she was wearing glasses no damage.
Injury or illness
Contusion
Object or substance involved
Hand Tool Non Powered
Summary line
EE states she was in the kitchen putting a pan up on a shelf when the pan fell and hit her nose. EE states she was wearing glasses no damage.
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623110 — Nursing Care Facilities Skilled Nursing Facilities
- NAICS vintage
- 2012
- Avg employees
- 107
- Total hours worked
- 182377
- EIN
- 383492656
- Establishment ID
- 912729
- Employer case #
- 10
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 18FEB2025:16:16:00
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.