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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: The Waters of Sullivan

Injury · Other recordable case

On , an injury at The Waters of Sullivan in Sullivan, IN 47882 resulted in other recordable case. Employee was certified Nurse Aid in convalescent homes or convalescent hospitals (except psychiatric).

Establishment
The Waters of Sullivan
Parent company
The Waters of Sullivan
Street
505 W Wolfe Street
City
Sullivan
State
IN
ZIP
47882
On-site location
Patient Room
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Walking into resident room to pass meal tray

Employee was passing was entering a resident room to pass evening meal tray and she tripped over a wound vac machine

Right foot strain

Wound Vac Machine

Passing meal tray to resident tripped over wound vac machine causing her to trip and fall causing foot strain

Job description
Certified Nurse Aid
SOC code
31-1131 — Nursing Assistants
NAICS code
623110 — Convalescent homes or convalescent hospitals (except psychiatric)
NAICS vintage
2022
Avg employees
67
Total hours worked
96752
EIN
884064160
Establishment ID
1115553
Employer case #
1
Date of incident
Shift started
14:00:00.000
Time of incident
17:50:00.000
Submitted
09FEB24:19:41:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.