Danielson, CT —
OSHA Injury Report: JACC Healthcare of Danielson dba Davis Place
Injury · Other recordable case
At a glance
On , an injury at JACC Healthcare of Danielson dba Davis Place in Danielson, CT 6239 resulted in other recordable case. Employee was mDS Coordinator LPN in homes for the elderly with nursing care.
Where did this happen?
- Establishment
- JACC Healthcare of Danielson dba Davis Place
- Parent company
- JACC Healthcare of Danielson dba Davis Place
- Street
- 111 Westcott Road
- City
- Danielson
- State
- CT
- ZIP
- 6239
- On-site location
- 1 West Hallway Danielson
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking down the hallway
What happened
laundry cart was being pushed down the hallway and struck employee which caused the employee to lose balance & fall to the floor.
Injury or illness
Pain to right wrist thumb elbow knee hip & upper arm (sprain right ankle & right wrist)
Object or substance involved
cart than floor
Summary line
Pain to right wrist thumb elbow knee hip & upper arm
Employee and industry
- Job description
- MDS Coordinator LPN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110 — Homes for the elderly with nursing care
- NAICS vintage
- 2022
- Avg employees
- 250
- Total hours worked
- 325972
- EIN
- 383940364
- Establishment ID
- 1245497
- Employer case #
- 2024-15
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 10:25
- Filing year
- 2024
- Submitted
- 03APR2025:16:07:00
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.