Oshksoh, WI ·
OSHA Injury Report: Evergreen Main
Injury · Job transfer or restriction
At a glance
On , an injury at Evergreen Main in 1130 North Westfield Street, Oshksoh, WI 54902 resulted in job transfer or restriction. Employee was certfied Nursing Assistant in rest homes with nursing care.
Where did this happen?
- Establishment
- Evergreen Main
- Parent company
- Evergreen Retirement Community
- Street
- 1130 North Westfield Street
- City
- Oshksoh
- State
- WI
- ZIP
- 54902
- On-site location
- Door 4 parking lot
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
Employee was walking in the parking lot during her lunch break.
What happened
Employee slipped on ice in the parking lot and fell on her left knee and left wrist. After the fall soreness developed to her left wrist knee hip and fingers.
Injury or illness
Fall shoulder
Object or substance involved
Ice-covered pavement
Summary line
Pain in bilateral feet hands shoulder from fall.
Employee and industry
- Job description
- Certfied Nursing Assistant
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Rest homes with nursing care
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 227
- Hours worked at this establishment (2025 total)
- 281,190
- EIN
- 391081800
- Establishment ID
- 148415
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-23
More injuries at Evergreen Main
View Evergreen Main's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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