STATESVILLE, NC ·
OSHA Injury Report: AUTUMN CARE OF STATESVILLE
Injury · Job transfer or restriction
At a glance
On , an injury at AUTUMN CARE OF STATESVILLE in 2001 VAN HAVEN DRIVE, STATESVILLE, NC 28625 resulted in job transfer or restriction. 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
- ROOM 201-W
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
REPOSITION RESIDENT
What happened
REPOSITIONING RESIDENT AND FELT SHARP PAIN IN RIGHT SHOULDER
Injury or illness
RIGHT SHOULDER
Object or substance involved
REPOSITIONG RESIDENT
Summary line
REPOSITIONING RESIDENT AND FELT SHARP PAIN IN RIGHT SHOULDER
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 #
- 11
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 18:45
- 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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