FARGO, ND —
OSHA Injury Report: EVENTIDE FARGO
Injury · Other recordable case
At a glance
On , an injury at EVENTIDE FARGO in FARGO, ND 58104 resulted in other recordable case. Employee was cNA in sERVICE - NURSING HOME.
Where did this happen?
- Establishment
- EVENTIDE FARGO
- Parent company
- EVENTIDE
- Street
- 3225 51ST ST S
- City
- FARGO
- State
- ND
- ZIP
- 58104
- On-site location
- 1W room 120
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Changing a residents brief
What happened
While removing a brief from a resident during a check and change my hand slipped while trying to grab the brief and flew back and I hit myself in the left eye.
Injury or illness
1 Contusion of left eyelid and periocular area initial encounter (S00.12XA). 2 Contusion of eyeball and orbital tissues left eye initial encounter (S05.12XA).
Object or substance involved
Brief change
Summary line
1 Contusion of left eyelid and periocular area initial encounter (S00.12XA). 2 Contusion of eyeball and orbital tissues left eye initial encounter (S05.12XA).
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — SERVICE - NURSING HOME
- NAICS vintage
- 2012
- Avg employees
- 214
- Total hours worked
- 315151
- EIN
- 410721640
- Establishment ID
- 857028
- Employer case #
- 2025FG003
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 16:00
- Filing year
- 2025
- Submitted
- 29JAN26:19:02:00
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.