STATESVILLE, NC ·
OSHA Injury Report: AUTUMN CARE OF STATESVILLE
Injury · Other recordable case
At a glance
On , an injury at AUTUMN CARE OF STATESVILLE in 2001 VAN HAVEN DRIVE, STATESVILLE, NC 28625 resulted in other recordable case. Employee was LPN in skilled nursing facilities.
Where did this happen?
- Establishment
- AUTUMN CARE OF STATESVILLE
- Parent company
- SABER HEALTH
- Street
- 2001 VAN HAVEN DRIVE
- City
- STATESVILLE
- State
- NC
- ZIP
- 28625
- On-site location
- 500 HALL
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING DOWN HALL
What happened
SLIPPED AND FELL ON LEFT KNEE WHILE WALKING TO GIVE RESIDENT MEDICATION
Injury or illness
FELL ON LEFT KNEE
Object or substance involved
WATER ON FLOOR
Summary line
SLIPPED AND FELL ON LEFT KNEE WHILE WALKING TO GIVE RESIDENT MEDICATION
Employee and industry
- Job description
- LPN
- SOC code
- 29-2061: Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110: Skilled nursing facilities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 120
- Hours worked at this establishment (2023 total)
- 187,237
- Establishment ID
- 865145
- Employer case #
- 9
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 10:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-22
More injuries at Autumn Care of Statesville
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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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