White Pine, TN —
OSHA Injury Report: Jefferson Park at White Pine
Injury · Other recordable case
At a glance
On , an injury at Jefferson Park at White Pine in White Pine, TN 37890 resulted in other recordable case. Employee was cNA in skilled nursing facilities.
Where did this happen?
- Establishment
- Jefferson Park at White Pine
- Parent company
- Jefferson County Nursing Home
- Street
- 407 Laura Lee Dr.
- City
- White Pine
- State
- TN
- ZIP
- 37890
- On-site location
- Residents bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting a resident out of the bed.
What happened
IW tripped over her own feet and fell.
Injury or illness
Sore bruised knee.
Object or substance involved
Floor.
Summary line
Contusion to knee
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 55
- Total hours worked
- 71402
- EIN
- 620800902
- Establishment ID
- 1430068
- Employer case #
- H
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 11:00
- Filing year
- 2025
- Submitted
- 15JAN26:18:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.