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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Park Place of Belvidere

Injury · Job transfer or restriction

On , an injury at Park Place of Belvidere in Belvidere, IL 61008 resulted in job transfer or restriction. Employee was cNA in skilled nursing facilities.

Establishment
Park Place of Belvidere
Parent company
Park Place of Belvidere
Street
1701 5th Ave
City
Belvidere
State
IL
ZIP
61008
On-site location
RESIDENT ROOM
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
3

IN RESIDENT ROOM GIVING CARE

ADJUSTING RESIDENT IN BED

LOWER BACK PAIN

RESIDENT

STRAIN TO LOWER BACK AREA

Job description
CNA
SOC code
31-1131 — Nursing Assistants
NAICS code
623110 — Skilled nursing facilities
NAICS vintage
2022
Avg employees
55
Total hours worked
82146
EIN
462847692
Establishment ID
567886
Employer case #
1
Date of incident
Shift started
6:00:00.000
Time of incident
11:00:00.000
Submitted
01MAR24:19:59:00

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.