Hiram, GA ·
OSHA Injury Report: Manor Lake Hiram
Injury · Other recordable case
At a glance
On , an injury at Manor Lake Hiram in 68 Breezy Valley Connector, Hiram, GA 30157 resulted in other recordable case. Employee was CNA in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Manor Lake Hiram
- Parent company
- Hiram Senior Center, LLC
- Street
- 68 Breezy Valley Connector
- City
- Hiram
- State
- GA
- ZIP
- 30157
- On-site location
- memory care unit
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting resident to bed
What happened
The resident was unstable so she tried to support her to keep her from falling
Injury or illness
left shoulder pain
Object or substance involved
N A
Summary line
Strained left shoulder preventing resident fall
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623312: Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 81
- Hours worked at this establishment (2023 total)
- 119,770
- EIN
- 830977126
- Establishment ID
- 607963
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:04
- Time of incident
- 21:36
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at Manor Lake Hiram
View Manor Lake Hiram's full OSHA safety record →
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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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