Shawano, WI —
OSHA Injury Report: Evergreen Health Services
Injury · Days away from work
At a glance
On , an injury at Evergreen Health Services in Shawano, WI 54166 resulted in days away from work. 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
- Nursing Station
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Adjusting Resident in their wheelchair
What happened
employee tried pulling resident up in their chair and felt a pain in her lower back
Injury or illness
Strained lower back
Object or substance involved
weight of the resident
Summary line
employee tried pulling resident up in their chair and felt a pain in 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 #
- 3
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 17:00:00.000
- Submitted
- 19JAN24:20:22:00
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.