Waupun, WI ·
OSHA Injury Report: Agnesian Christian Home and Rehab
Injury · Days away from work
At a glance
On , an injury at Agnesian Christian Home and Rehab in 452 Fox Lake Road, Waupun, WI 53963 resulted in days away from work. Employee was certified Nursing Assistant LTC in nursing Care Facilities (Skilled Nursing Facilities).
Where did this happen?
- Establishment
- Agnesian Christian Home and Rehab
- Parent company
- SSM Health
- Street
- 452 Fox Lake Road
- City
- Waupun
- State
- WI
- ZIP
- 53963
- On-site location
- patient room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 27
Before the incident
Performing patient care
What happened
during a roll and I felt a pop in the middle back
Injury or illness
Strain
Object or substance involved
Repositioning Rolling Side to Side
Summary line
Resident is heavy and we needed to find a safe way to move her closer to the edge to roll her to provide care and the other CNA providing cares writer was losing strength to keep holding and had to get nurse to help
Employee and industry
- Job description
- Certified Nursing Assistant LTC
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing Care Facilities (Skilled Nursing Facilities)
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 100
- Hours worked at this establishment (2023 total)
- 151,366
- EIN
- 390884514
- Establishment ID
- 1182635
- Employer case #
- WC172925
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 20:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Agnesian Christian Home and Rehab
View Agnesian Christian Home and Rehab's full OSHA safety record →
More injuries in this industry (NAICS 623110)
More injuries in WI
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.