Fond du Lac, WI ·
OSHA Injury Report: Agnesian St. Francis Home
Injury · Days away from work
At a glance
On , an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in days away from work. 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
- patient room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 148
Before the incident
repetitive patient lift over couple days
What happened
pain in my lower right back over the course of the day
Injury or illness
Strain
Object or substance involved
Lifting - All Other
Summary line
worked the [REDACTED] and 1 2 a shift on the [REDACTED]. woke up on [REDACTED] with pain in my lower right back over the course of the day on [REDACTED] and [REDACTED] [REDACTED] the pain became worse and on [REDACTED] [REDACTED] I went to the Express cli
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 #
- WC178723
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 19:00
- 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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