Maple Plain, MN —
OSHA Injury Report: Haven Homes
Injury · Days away from work
At a glance
On , an injury at Haven Homes in Maple Plain, MN 55359 resulted in days away from work. Employee was rN in nursing homes.
Where did this happen?
- Establishment
- Haven Homes
- Parent company
- Cassia
- Street
- 4848 Gateway Blvd
- City
- Maple Plain
- State
- MN
- ZIP
- 55359
- On-site location
- Outside front entrance
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 5
Before the incident
Participating in work carnival as game host. Participated in dunk tank.
What happened
Employee was dropped from the dunk tank seat when the target was struck fell into the water and hit tailbone on the bottom of the tank ground.
Injury or illness
Strained tailbone
Object or substance involved
Dunk tank bottom ground.
Summary line
Sharp pain in tailbone when dropped from dunk tank seat.
Employee and industry
- Job description
- RN
- SOC code
- 29-1141 — Registered Nurses
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 217
- Total hours worked
- 245984
- EIN
- 416045816
- Establishment ID
- 1182617
- Employer case #
- 17
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 15:50
- Filing year
- 2025
- Submitted
- 27FEB26:22:47:00
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.