Beaver Dam, WI —
OSHA Injury Report: Charleston House
Injury · Other recordable case
At a glance
On , an injury at Charleston House in Beaver Dam, WI 53916 resulted in other recordable case. Employee was mC Campus Administrator in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Charleston House
- Parent company
- Beaver Dam Al Operations LLC
- Street
- 104 Fakes Court
- City
- Beaver Dam
- State
- WI
- ZIP
- 53916
- On-site location
- Assisted Living Building side entrance
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
opening side door to enter building
What happened
scraped foot on bottom of door. Door was rusty at bottom
Injury or illness
Scrape
Object or substance involved
door
Summary line
left foot scrape
Employee and industry
- Job description
- MC Campus Administrator
- SOC code
- 11-9111 — Medical and Health Services Managers
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 68
- Total hours worked
- 79054
- EIN
- 884009936
- Establishment ID
- 1120834
- Employer case #
- A00542628
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 12FEB24:20:52:00
Source
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.