Shawano, WI —
OSHA Injury Report: Evergreen Health Services
Injury · Other recordable case
At a glance
On , an injury at Evergreen Health Services in Shawano, WI 54166 resulted in other recordable case. Employee was cNA in nursing homes.
Where did this happen?
- Establishment
- Evergreen Health Services
- Parent company
- Northshore Health Services
- Street
- 1250 Evergreen Street
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Room 12
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Turning the resident
What happened
while turning a resident they pushed back and grab employees shoulder straining her lower back
Injury or illness
Strained lower back
Object or substance involved
Resident pulling on employee
Summary line
while turning a resident they pushed back and grab employees shoulder straining her lower back
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 56
- Total hours worked
- 69828
- EIN
- 843225166
- Establishment ID
- 880724
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:15:00.000
- Submitted
- 19JAN24:20:18:00
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.