Dousman, WI —
OSHA Injury Report: Masonic Center for Health and Rehab
Injury · Other recordable case
At a glance
On , an injury at Masonic Center for Health and Rehab in Dousman, WI 53118 resulted in other recordable case. Employee was cNA in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- Masonic Center for Health and Rehab
- Parent company
- Masonic Center for Health and Rehab
- Street
- 410 N. Main Street
- City
- Dousman
- State
- WI
- ZIP
- 53118
- On-site location
- Resident Room - MCHR Hickory Suites
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting a resident in getting ready for bed. Walking around his chair to get the sling.
What happened
Struck ankle on side leg of broda chair.
Injury or illness
Ankle sprain.
Object or substance involved
Broda chair.
Summary line
Stuck ankle on resident 's broda chair.
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2022
- Avg employees
- 111
- Total hours worked
- 138067
- EIN
- 391506910
- Establishment ID
- 62217
- Employer case #
- HC-23-3
When (timing detail)
- Date of incident
- Shift started
- 14:44:00.000
- Time of incident
- 18:45:00.000
- Submitted
- 16FEB24:16:03:00
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.