Clintonville, WI ·
OSHA Injury Report: Pines Post Acute & Memory Care
Injury · Other recordable case
At a glance
On , an injury at Pines Post Acute & Memory Care in 1625 E Main Street, Clintonville, WI 54929 resulted in other recordable case. Employee was LPN in nursing homes.
Where did this happen?
- Establishment
- Pines Post Acute & Memory Care
- Parent company
- Cloverleaf
- Street
- 1625 E Main Street
- City
- Clintonville
- State
- WI
- ZIP
- 54929
- On-site location
- resident room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
giving meds to another resident
What happened
employee went down to give resident medication and they were giving her trouble so she turned around to walk out and resident kicked her in the back
Injury or illness
injury to lower back
Object or substance involved
resident foot
Summary line
Resident kicked Employee while giving meds
Employee and industry
- Job description
- LPN
- SOC code
- 29-2061: Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110: Nursing homes
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 67
- Hours worked at this establishment (2023 total)
- 126,818
- EIN
- 464477918
- Establishment ID
- 1122503
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 17:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-13
More injuries at Pines Post Acute & Memory Care
View Pines Post Acute & Memory Care's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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