Martin, TN ·
OSHA Injury Report: DBA: Diversicare of Martin
Injury · Other recordable case
At a glance
On , an injury at DBA: Diversicare of Martin in 158 Mt Pelia Road, Martin, TN 38237 resulted in other recordable case. Employee was c N A in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- DBA: Diversicare of Martin
- Parent company
- Diversicare / DAC Acquisitions LLC
- Street
- 158 Mt Pelia Road
- City
- Martin
- State
- TN
- ZIP
- 38237
- On-site location
- resident room 207
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking around a resident room providing care to resident
What happened
tripped over a residents family member pack back that was on the floor in the residents room
Injury or illness
left foot and ankle tendon sprain contusion minor
Object or substance involved
back pack of resident family membere
Summary line
Trip and fall over the residents daughters back pack on floor in room and hurt left ankle
Employee and industry
- Job description
- C N A
- SOC code
- 9999: Uncoded
- NAICS code
- 623110: Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 82
- Hours worked at this establishment (2023 total)
- 136,458
- EIN
- 621317705
- Establishment ID
- 1179614
- Employer case #
- 2023-5
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-01
More injuries at DBA: Diversicare of Martin
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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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