Shelbyville, IL —
OSHA Injury Report: Shelbyville Manor
Injury · Days away from work
At a glance
On , an injury at Shelbyville Manor in Shelbyville, IL 62565 resulted in days away from work. Employee was cNA in nursing homes.
Where did this happen?
- Establishment
- Shelbyville Manor
- Parent company
- Unlimited Development Inc. #3
- Street
- 1111 West North 12th Street
- City
- Shelbyville
- State
- IL
- ZIP
- 62565
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Assisting a resident with a.m. care
What happened
Resident requested assistance to sit from a lying position. CNA pulled resident utilizing her arm instead of placing arm around shoulder.
Injury or illness
Pop felt in left arm elbow area
Object or substance involved
Assisting a resident using poor body mechanics
Summary line
Pop Left Arm Elbow
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 108
- Total hours worked
- 170713
- EIN
- 364094409
- Establishment ID
- 201649
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 5:33:00.000
- Time of incident
- 6:30:00.000
- Submitted
- 16JAN24:20:40:00
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.