Fond du Lac, WI ·
OSHA Injury Report: Agnesian St. Francis Home
Injury · Job transfer or restriction
At a glance
On , an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in job transfer or restriction. Employee was certified Nursing Assistant LTC in nursing Care Facilities Skilled Nursing Facilities.
Where did this happen?
- Establishment
- Agnesian St. Francis Home
- Parent company
- SSM Health
- Street
- 33 Everett Street
- City
- Fond du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- hallway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
lowering patient to floor so she wouldn 't fall out of her wheelchair
What happened
Lowered Resident to the floor at [REDACTED] 28 25. 3 29 25 Staff need to do a 3 man lift to prevent Resident from falling out of [REDACTED]
Injury or illness
Strain
Object or substance involved
Fall Prevention - Lowering Patient to the floor
Summary line
Lowered Resident to the floor at [REDACTED] 28 25. 3 29 25 Staff need to do a 3 man lift to prevent Resident from falling out of [REDACTED]
Employee and industry
- Job description
- Certified Nursing Assistant LTC
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing Care Facilities Skilled Nursing Facilities
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 335
- Hours worked at this establishment (2025 total)
- 284,657
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC178353
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 10:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-14
More injuries at Agnesian St. Francis Home
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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