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
- 1
- Days restricted or transferred
- 112
Before the incident
patient handling lift
What happened
Back Left neckshoulder [REDACTED] [REDACTED] Home2025WC178003Certified Nursing Assistant LTC
Injury or illness
Strain
Object or substance involved
resident room
Summary line
Resident had to go to bathroom but could not sit up she asked for help I put my right arm around her upper back and she gave me her right hand in my left hand I counted 123 went to pull her up
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 #
- WC177535
When (timing detail)
- Date of incident
- Shift started
- 22:07
- Time of incident
- 0:23
- Filing year
- 2025
- Submitted
- 16JAN26:22:42:00
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.