Dousman, WI —
OSHA Injury Report: Wisconsin Masonic Home Inc. CP/RSL/MW
Injury · Job transfer or restriction
At a glance
On , an injury at Wisconsin Masonic Home Inc. CP/RSL/MW in Dousman, WI 53118 resulted in job transfer or restriction. Employee was resident Assistant 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
- Riverside Lodge Assisted Living Resident Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Helping adjust a resident.
What happened
Staff leaned over the back of a recliner to assist the resident in moving and felt her rib pop out and then back in.
Injury or illness
Strained chest wall.
Object or substance involved
Resident.
Summary line
Sprained chest assisting resident in [REDACTED].
Employee and industry
- Job description
- Resident Assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 181
- Total hours worked
- 231112
- EIN
- 390813463
- Establishment ID
- 62234
- Employer case #
- CP-23-15
When (timing detail)
- Date of incident
- Shift started
- 5:53:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 16FEB24:15:46:00
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.