Kelliher, MN ·
OSHA Injury Report: Cornerstone Residence of Kelliher
Injury · Other recordable case
At a glance
On , an injury at Cornerstone Residence of Kelliher in 280 Main Street W, Kelliher, MN 56650 resulted in other recordable case. Employee was personal Assistant in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Cornerstone Residence of Kelliher
- Parent company
- Potvin Holdings, Inc.
- Street
- 280 Main Street W
- City
- Kelliher
- State
- MN
- ZIP
- 56650
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Administered Insulin
What happened
Safety shield did not engage following the admin of insulin
Injury or illness
Needle stick
Object or substance involved
UltiCare Safety Pen Needle did not engage
Summary line
Hand
Employee and industry
- Job description
- Personal Assistant
- SOC code
- 31-1122: Personal Care Aides
- NAICS code
- 623312: Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 19
- Hours worked at this establishment (2025 total)
- 28,673
- EIN
- 411760229
- Establishment ID
- 1449207
- Employer case #
- 58432451
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 17:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-29
More injuries in this industry (NAICS 623312)
More injuries in MN
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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