Archbold, OH ·
OSHA Injury Report: Fairlawn Haven
Injury · Other recordable case
At a glance
On , an injury at Fairlawn Haven in 407 E Lutz Rd, Archbold, OH 43502 resulted in other recordable case. Employee was stna in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Fairlawn Haven
- Parent company
- Fairlawn Haven
- Street
- 407 E Lutz Rd
- City
- Archbold
- State
- OH
- ZIP
- 43502
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Providing assistance to resident
What happened
Resident was adjusting to transition to new environment Employee was slapped by resident out of frustration
Injury or illness
Face Mouth - Cap of tooth knocked out
Object or substance involved
Resident
Summary line
Resident smacked IW in face on left side and made cap loose (#10 tooth)
Employee and industry
- Job description
- STNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623311: Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 107
- Hours worked at this establishment (2023 total)
- 164,457
- EIN
- 340930124
- Establishment ID
- 870969
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 22:03
- Time of incident
- 05:40
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Fairlawn Haven
View Fairlawn Haven'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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