Dousman, WI —
OSHA Injury Report: Masonic Center for Health and Rehab
Injury · Job transfer or restriction
At a glance
On , an injury at Masonic Center for Health and Rehab in Dousman, WI 53118 resulted in job transfer or restriction. 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
Making a resident 's bed.
What happened
Tripped over the cord for the resident 's call light cord.
Injury or illness
Contusion on left knee nose and forehead. Strain on right wrist.
Object or substance involved
Call light cord floor.
Summary line
Tripped over call light cord.
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-23-8
When (timing detail)
- Date of incident
- Shift started
- 6:02:00.000
- Time of incident
- 6:45:00.000
- Submitted
- 16FEB24:16:09:00
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.