Dousman, WI —
OSHA Injury Report: Wisconsin Masonic Home Inc. CP/RSL/MW
Injury · Days away from work
At a glance
On , an injury at Wisconsin Masonic Home Inc. CP/RSL/MW in Dousman, WI 53118 resulted in days away from work. Employee was service Associate in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Wisconsin Masonic Home Inc. CP/RSL/MW
- Parent company
- Wisconsin Masonic Home inc.
- Street
- 410 N. Main Street
- City
- Dousman
- State
- WI
- ZIP
- 53118
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 21
- Days restricted or transferred
- 54
Before the incident
Helping a resident stand.
What happened
Resident began to fall the employee tried to catch them.
Injury or illness
Strained back.
Object or substance involved
Resident.
Summary line
Strained back while trying to catch a falling resident.
Employee and industry
- Job description
- Service Associate
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2012
- Avg employees
- 204
- Total hours worked
- 250064
- EIN
- 390813463
- Establishment ID
- 62234
- Employer case #
- CP-25-9
When (timing detail)
- Date of incident
- Shift started
- 6:07
- Time of incident
- 9:40
- Filing year
- 2025
- Submitted
- 02MAR26:16:34:00
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.