Richland Center, WI —
OSHA Injury Report: Pine Valley Community Village
Injury · Job transfer or restriction
At a glance
On , an injury at Pine Valley Community Village in Richland Center, WI 53581 resulted in job transfer or restriction. Employee was lPN in skilled nursing facilities.
Where did this happen?
- Establishment
- Pine Valley Community Village
- Parent company
- Richland County
- Street
- 25951 Circle View Lane
- City
- Richland Center
- State
- WI
- ZIP
- 53581
- On-site location
- 300 Laundry room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
Looking for a rag in the laundry room
What happened
Another employee opened the door and accidentally hit this employee in the back with the door handle.
Injury or illness
Pain to lower back
Object or substance involved
door handle
Summary line
Door handle pushed into lower back.
Employee and industry
- Job description
- LPN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 162
- Total hours worked
- 193209
- EIN
- 396005735
- Establishment ID
- 87421
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:45:00.000
- Submitted
- 15JAN24:17:02:00
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.