Shelbyville, IL ·
OSHA Injury Report: Shelbyville Manor
Injury · Other recordable case
At a glance
On , an injury at Shelbyville Manor in 1111 West North 12th Street, Shelbyville, IL 62565 resulted in other recordable case. 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
- Shower Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting a resident with their shower
What happened
CNA was drying off the resident and felt pop twist in left arm elbow
Injury or illness
Pain to left arm elbow
Object or substance involved
Movement
Summary line
Felt pop twist in left elbow.
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing homes
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 108
- Hours worked at this establishment (2023 total)
- 170,713
- EIN
- 364094409
- Establishment ID
- 201649
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 05:30
- Time of incident
- 09:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-16
More injuries at Shelbyville Manor
View Shelbyville Manor's full OSHA safety record →
More injuries in this industry (NAICS 623110)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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