Beverly, MA —
OSHA Injury Report: Blueberry Hill Operator LLC
Injury · Days away from work
At a glance
On , an injury at Blueberry Hill Operator LLC in Beverly, MA 19156009 resulted in days away from work. Employee was cNA in skilled nursing facilities.
Where did this happen?
- Establishment
- Blueberry Hill Operator LLC
- Parent company
- Blueberry Hill Rehabilitation and Healthcare Center
- Street
- 75 Brimbal Avenue
- City
- Beverly
- State
- MA
- ZIP
- 19156009
- On-site location
- Hallway/Corridor/Common Area - Hallway
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 27
- Days restricted or transferred
- 153
Before the incident
Walking
What happened
EE had her shower clog (was wearing Croc shoes) stuck to linoleum on floor because her shoes were made of rubber and fell on right shoulder per statement attached. She tripped over herself as the traction of her shoe stopped her and she was not paying attention while she walked toward the exit to the unit.
Injury or illness
Left Shoulder(s): ALL OTHER INJURIES NOC
Object or substance involved
OTHER - MISCELLANEOUS
Summary line
EE had her shower clog (was wearing Croc shoes) stuck to linoleum on floor because her shoes were made of rubber and fell on right shoulder per statement attached. She tripped over herself as the traction of her shoe stopped her and she was not paying
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2012
- Avg employees
- 117
- Total hours worked
- 206888
- EIN
- 464793488
- Establishment ID
- 279142
- Employer case #
- 12530
When (timing detail)
- Date of incident
- Time of incident
- 12:45
- Filing year
- 2025
- Submitted
- 16FEB26:22:48:00
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.