Moundridge, KS —
OSHA Injury Report: Memorial Home Inc. dba Pine Village
Injury · Other recordable case
At a glance
On , an injury at Memorial Home Inc. dba Pine Village in Moundridge, KS 67107 resulted in other recordable case. Employee was cMA in nursing homes.
Where did this happen?
- Establishment
- Memorial Home Inc. dba Pine Village
- Parent company
- Pine Village
- Street
- 86 22nd Avenue
- City
- Moundridge
- State
- KS
- ZIP
- 67107
- On-site location
- Healthcare
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Repositioning resident
What happened
Felt pain in lower back and shoulder
Injury or illness
Lower back pain
Object or substance involved
Resident
Summary line
Pain in lower back and shoulder
Employee and industry
- Job description
- CMA
- SOC code
- 31-9092 — Medical Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 153
- Total hours worked
- 58026
- EIN
- 480643239
- Establishment ID
- 1066456
- Employer case #
- 4
When (timing detail)
- Date of incident
- Time of incident
- 2:35:00.000
- Submitted
- 03JAN24:21:46:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.