sheboygan, WI —
OSHA Injury Report: Meadow View Health Services
Injury · Other recordable case
At a glance
On , an injury at Meadow View Health Services in sheboygan, WI 53081 resulted in other recordable case. Employee was cNA in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- Meadow View Health Services
- Parent company
- NSH MEADOW VIEW LLC
- Street
- 3613 S. 13th Street
- City
- sheboygan
- State
- WI
- ZIP
- 53081
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee entered the resident 's room to provide cares.
What happened
Resident became agitated resident started kicking employee
Injury or illness
left shin knee and scratched hand.
Object or substance involved
Resident 's hands and foot
Summary line
Lower arm
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2022
- Avg employees
- 31
- Total hours worked
- 41194
- EIN
- 822355890
- Establishment ID
- 1078950
- Employer case #
- W004233681
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:15:00.000
- Submitted
- 22JAN24:16:51:00
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.