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 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
- 11
Before the incident
patient handling lift
What happened
lifted pt then [REDACTED] felt a twinge in lower back
Injury or illness
Strain
Object or substance involved
patient chair
Summary line
Chair had been in the up position so resident was sliding out of chair I came into room and grabbed controller to bring chair back down to sitting position
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
- Avg employees
- 335
- Total hours worked
- 284657
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC178003
When (timing detail)
- Date of incident
- Shift started
- 22:15
- Time of incident
- 2:30
- Filing year
- 2025
- Submitted
- 16JAN26:22:38:00
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.