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 CNA 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
cares on resident
What happened
resident struck CNA on side of the head as she was turning to walk away from the resident
Injury or illness
fist to the side of the head
Object or substance involved
resident hand
Summary line
resident struck [REDACTED] on the side of the head
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- 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 #
- 8
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 18:00
- 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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