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 Fond du Lac, WI 54935 resulted in days away from work. Employee was resident Care 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 13
- Days restricted or transferred
- 11
Before the incident
placing ted hose on resident in kneeling position attempted to stand when hand slipped overextended causing back to twist.
What happened
went to stand up right hand slipped down on her walker causing me to twist my back.
Injury or illness
Fracture
Object or substance involved
Slip or Trip - DID NOT FALL
Summary line
Just finished putting residents ted hose on had left knee on the floor right foot on the floor right hand on resident 's walker and left hand on residents ' arm of her chair went to stand up right hand slipped down on her walker
Employee and industry
- Job description
- Resident Care Assistant LTC
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing Care Facilities Skilled Nursing Facilities
- NAICS vintage
- 2012
- Avg employees
- 335
- Total hours worked
- 284657
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC180361
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 7:45
- Filing year
- 2025
- Submitted
- 16JAN26:16:59:00
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.