Madison, MS —
OSHA Injury Report: Madison Home Place
Injury · Other recordable case
At a glance
On , an injury at Madison Home Place in Madison, MS 39110 resulted in other recordable case. Employee was pCA in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Madison Home Place
- Parent company
- Madison Home Place
- Street
- 7521 Old Canton Road
- City
- Madison
- State
- MS
- ZIP
- 39110
- On-site location
- Residents Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was assisting a resident who had fallen.
What happened
Employee was assisting a resident who had fallen and injured her R shoulder when trying to get the resident into a chair.
Injury or illness
R SHoulder
Object or substance involved
The strain of assisting an elderly resident.
Summary line
[REDACTED] shoulder was injured assisting a resident who had fallen.
Employee and industry
- Job description
- PCA
- SOC code
- 31-1122 — Personal Care Aides
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 40
- Total hours worked
- 74185
- EIN
- 883237805
- Establishment ID
- 966355
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 5:28:00.000
- Time of incident
- 6:15:00.000
- Submitted
- 09JAN24:18:28:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.