Southaven, MS —
OSHA Injury Report: Diversicare of Southaven
Injury · Other recordable case
At a glance
On , an injury at Diversicare of Southaven in Southaven, MS 38671 resulted in other recordable case. Employee was activities supervisor in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- Diversicare of Southaven
- Parent company
- Diversicare/ DAC Acquisitions LLC
- Street
- 1730 Dorchester Drive
- City
- Southaven
- State
- MS
- ZIP
- 38671
- On-site location
- main dining room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
decorating the lounge and dining area for residents.
What happened
went to get put someething up for decorations and fell off the step stool and hurt back and right knee
Injury or illness
twisted as falling off step stool and had lower back stain. and right knee pain.
Object or substance involved
step stool and lost balance
Summary line
Stood on step stool and fell over and felt strain in lower back and twisted right knee
Employee and industry
- Job description
- Activities supervisor
- SOC code
- 39-9032 — Recreation Workers
- NAICS code
- 623110 — Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2022
- Avg employees
- 115
- Total hours worked
- 215819
- EIN
- 371833131
- Establishment ID
- 1180803
- Employer case #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Submitted
- 29FEB24:17:54:00
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.