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
- resident room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 99
Before the incident
assist resident out of bed
What happened
Patient Handling - repositioning supine to seated - strain upper lower back right arm
Injury or illness
Strain
Object or substance involved
Repositioning - To From Supine to Seated at Edge of Bed
Summary line
helped resident get out of bed resident didn 't help by pulling on my right arm that caused a shooting constant pain down my right side.
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 #
- WC179224
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 07:00
- 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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