Fergus Falls, MN —
OSHA Injury Report: Mill Street Residence
Injury · Days away from work
At a glance
On , an injury at Mill Street Residence in Fergus Falls, MN 56537 resulted in days away from work. Employee was server in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Mill Street Residence
- Parent company
- Lake Region Healthcare
- Street
- 802 S Mill Street
- City
- Fergus Falls
- State
- MN
- ZIP
- 56537
- On-site location
- Hallway
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 45
Before the incident
Walking in hallway
What happened
Walking in hallway employee 's foot caught the edge of a chair causing her to fall on her left side.
Injury or illness
left humerus fracture
Object or substance involved
Chair-fall
Summary line
Left Humerus fracture
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 51
- Total hours worked
- 56137
- EIN
- 411817549
- Establishment ID
- 1435089
- Employer case #
- 451202
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 18:30
- Filing year
- 2025
- Submitted
- 21JAN26:16:28:00
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.