Bolivar, TN —
OSHA Injury Report: Pine Meadows Healthcare and Rehabilitation Center
Injury · Job transfer or restriction
At a glance
On , an injury at Pine Meadows Healthcare and Rehabilitation Center in Bolivar, TN 38008 resulted in job transfer or restriction. Employee was pine Meadows Central Supply CNA in skilled nursing facilities.
Where did this happen?
- Establishment
- Pine Meadows Healthcare and Rehabilitation Center
- Street
- 700 Nuckolls Road
- City
- Bolivar
- State
- TN
- ZIP
- 38008
- On-site location
- Hallway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 60
Before the incident
Opening door to service [REDACTED]
What happened
Walking through the hallway
Injury or illness
Contusion of multiple body parts
Object or substance involved
Hallway Door
Summary line
Contusion multiple body parts
Employee and industry
- Job description
- Pine Meadows Central Supply CNA
- SOC code
- 9999 — Uncoded
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 100
- Total hours worked
- 158341
- EIN
- 205820009
- Establishment ID
- 131390
- Employer case #
- 81123
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 13:40:00.000
- Submitted
- 05FEB24:16:25:00
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.