Kennesaw, GA —
OSHA Injury Report: Shady Grove Rest Home, Inc
Injury · Other recordable case
At a glance
On , an injury at Shady Grove Rest Home, Inc in Kennesaw, GA 30152 resulted in other recordable case. Employee was lPN in nursing homes.
Where did this happen?
- Establishment
- Shady Grove Rest Home, Inc
- Parent company
- The Parkside Group
- Street
- 1780 Old Hwy 41 NW
- City
- Kennesaw
- State
- GA
- ZIP
- 30152
- On-site location
- nurses station breezeway
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking
What happened
slipped and fell over a bucket of water
Injury or illness
slipped and fell over bucket of water
Object or substance involved
bucket of water
Summary line
slip and fall
Employee and industry
- Job description
- LPN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 165
- Total hours worked
- 197018
- EIN
- 580951595
- Establishment ID
- 1211630
- Employer case #
- 622
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Submitted
- 01MAR24:22:11:00
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.