Shelbyville, IL —
OSHA Injury Report: Shelbyville Manor
Injury · Other recordable case
At a glance
On , an injury at Shelbyville Manor in 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
- Avg employees
- 108
- Total hours worked
- 170713
- EIN
- 364094409
- Establishment ID
- 201649
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 16JAN24:20:43:00
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.