Avon, IN, IN —
OSHA Injury Report: COUNTRYSIDE MEADOWS
Injury · Days away from work
At a glance
On , an injury at COUNTRYSIDE MEADOWS in Avon, IN, IN 461E6 resulted in days away from work. Employee was lPN in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- COUNTRYSIDE MEADOWS
- Parent company
- Eaglecare, LLC
- Street
- 762 N. Dan Jones Road
- City
- Avon, IN
- State
- IN
- ZIP
- 461E6
- On-site location
- COMMON AREA
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
Before the incident
SEPARATING TWO RESIDENTS IN AN ALETERCATION
What happened
RESIDENT THREE EMPLOYEE TO THE FLOOR
Injury or illness
LEFT RIB CONTUSIONS
Object or substance involved
NA
Summary line
RIB CONTUSION
Employee and industry
- Job description
- LPN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110 — Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2022
- Avg employees
- 168
- Total hours worked
- 251946
- EIN
- 356005697
- Establishment ID
- 1120303
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Submitted
- 19FEB24:14:31:00
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.