Danielson, CT —
OSHA Injury Report: JACC Healthcare of Danielson dba Davis Place
Injury · Other recordable case
At a glance
On , an injury at JACC Healthcare of Danielson dba Davis Place in Danielson, CT 6239 resulted in other recordable case. Employee was fSD in homes for the elderly with nursing care.
Where did this happen?
- Establishment
- JACC Healthcare of Danielson dba Davis Place
- Parent company
- JACC Healthcare of Danielson dba Davis Place
- Street
- 111 Westcott Road
- City
- Danielson
- State
- CT
- ZIP
- 6239
- On-site location
- Dining Room 1, Danielson
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
participating in recreation activity for staff during nursing home week
What happened
bent down and tripped over leg of table and fell onto the floor
Injury or illness
bruise to chest and rib area
Object or substance involved
floor
Summary line
pain to chest and rib area
Employee and industry
- Job description
- FSD
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 623110 — Homes for the elderly with nursing care
- NAICS vintage
- 2022
- Avg employees
- 250
- Total hours worked
- 337731
- EIN
- 383940364
- Establishment ID
- 1245497
- Employer case #
- 2025-4
When (timing detail)
- Date of incident
- Shift started
- 8:30
- Time of incident
- 14:15
- Filing year
- 2025
- Submitted
- 04MAR26:04:31:00
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.