Momence, FL —
OSHA Injury Report: Good Shepherd Manor Inc
Injury · Days away from work
At a glance
On , an injury at Good Shepherd Manor Inc in Momence, FL 60954 resulted in days away from work. Employee was registered nurse in group homes for the disabled with nursing care.
Where did this happen?
- Establishment
- Good Shepherd Manor Inc
- Parent company
- Good Shepherd Manor Inc
- Street
- 4129 N. State Rd 1 & 17
- City
- Momence
- State
- FL
- ZIP
- 60954
- On-site location
- Resident house parking lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
Before the incident
Leaving resident 's home
What happened
Tripped and fell over a parking block in the parking block of resident 's home.
Injury or illness
Left arm fracture Left shoulder rotator cuff tear
Object or substance involved
Parking block in parking lot
Summary line
Left arm fracture shoulder tear fell over parking block in parking lot
Employee and industry
- Job description
- Registered nurse
- SOC code
- 29-1141 — Registered Nurses
- NAICS code
- 623110 — Group homes for the disabled with nursing care
- NAICS vintage
- 2022
- Avg employees
- 137
- Total hours worked
- 268164
- EIN
- 362693168
- Establishment ID
- 835802
- Employer case #
- 11
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 19:30:00.000
- Submitted
- 16JAN24:21:22:00
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.