Southern Pines, NC —
OSHA Injury Report: Penick Village Inc.
Injury · Job transfer or restriction
At a glance
On , an injury at Penick Village Inc. in Southern Pines, NC 28387 resulted in job transfer or restriction. Employee was dining Steward in skilled nursing facilities.
Where did this happen?
- Establishment
- Penick Village Inc.
- Parent company
- Penick Village Inc.
- Street
- 500 E Rhode Island Ave
- City
- Southern Pines
- State
- NC
- ZIP
- 28387
- On-site location
- East Main St ion Campus
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
Delivering Meals to resident cottages
What happened
IW was driving on the golf cart to deliver meals to residents when she took a sharp turn she fell out of the golf cart causing pain to right elbow and right knee.
Injury or illness
Abrasion and contusion to Left knee and Right Elbow.
Object or substance involved
Golf Cart grounds.
Summary line
IW was driving on the golf cart to deliver meals to residents when she took a sharp turn she fell out of the golf cart causing pain to right elbow and right knee.
Employee and industry
- Job description
- Dining Steward
- SOC code
- 9999 — Uncoded
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 225
- Total hours worked
- 322276
- EIN
- 560729010
- Establishment ID
- 889556
- Employer case #
- EAI123W079
When (timing detail)
- Date of incident
- Shift started
- 16:30:00.000
- Time of incident
- 16:45:00.000
- Submitted
- 07MAR24:12:17:00
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.