Bolivar, TN —
OSHA Injury Report: Pine Meadows Healthcare and Rehabilitation Center
Injury · Other recordable case
At a glance
On , an injury at Pine Meadows Healthcare and Rehabilitation Center in Bolivar, TN 38008 resulted in other recordable case. Employee was pine Meadows Staff Development LPN 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
- Work Area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Attempting to assist a resident who was standing without assitance
What happened
Resident became combative
Injury or illness
head neck strain
Object or substance involved
resident
Summary line
head neck strain
Employee and industry
- Job description
- Pine Meadows Staff Development LPN
- 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 #
- 111623
When (timing detail)
- Date of incident
- Time of incident
- 8:00:00.000
- Submitted
- 05FEB24:16:42:00
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.