Beaver Dam, WI —
OSHA Injury Report: Charleston House
Injury · Days away from work
At a glance
On , an injury at Charleston House in Beaver Dam, WI 53916 resulted in days away from work. Employee was med Passer 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
- dining room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
- Days restricted or transferred
- 8
Before the incident
Assisting lift with Resident
What happened
Resident fell back into chair as employee was lifting. pulled right shoulder
Injury or illness
right shoulder strain
Object or substance involved
Lifting Resident
Summary line
assisting lifting right shoulder
Employee and industry
- Job description
- Med Passer
- SOC code
- 31-1131 — Nursing Assistants
- 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 #
- A00570375
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 12FEB24:21:06:00
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.