Sheboygan Falls, WI —
OSHA Injury Report: Pine Haven Christian Home - Haven Drive Campus
Injury · Other recordable case
At a glance
On , an injury at Pine Haven Christian Home - Haven Drive Campus in Sheboygan Falls, WI 53085 resulted in other recordable case. Employee was resident Assistant in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Pine Haven Christian Home - Haven Drive Campus
- Parent company
- Pine Haven Christian Home, Inc.
- Street
- 220 Haven Drive
- City
- Sheboygan Falls
- State
- WI
- ZIP
- 53085
- On-site location
- Resident Common Area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was assisting a resident into bed and noticed that another resident had entered the room.
What happened
When questioned the entering resident punched the employee in the stomach.
Injury or illness
Abdominal contusion
Object or substance involved
Resident
Summary line
Employee struck by resident causing abdominal pain
Employee and industry
- Job description
- Resident Assistant
- SOC code
- 39-9041 — Residential Advisors
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2012
- Avg employees
- 147
- Total hours worked
- 173166
- EIN
- 390816900
- Establishment ID
- 953312
- Employer case #
- 139
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 0:30
- Filing year
- 2025
- Submitted
- 25FEB26:19:30:00
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.