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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Cornerstone Residence of Kelliher

Injury · Other recordable case

On , an injury at Cornerstone Residence of Kelliher in Kelliher, MN 56650 resulted in other recordable case. Employee was personal Assistant in assisted-living facilities without on-site nursing care facilities.

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
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Administered Insulin

Safety shield did not engage following the admin of insulin

Needle stick

UltiCare Safety Pen Needle did not engage

Hand

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
Avg employees
19
Total hours worked
28673
EIN
411760229
Establishment ID
1449207
Employer case #
58432451
Date of incident
Shift started
14:30
Time of incident
17:30
Filing year
2025
Submitted
29JAN26:21:35:00

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.