Shelbyville, IL ·
OSHA Injury Report: Shelbyville Manor
Injury · Days away from work
At a glance
On , an injury at Shelbyville Manor in 1111 West North 12th Street, Shelbyville, IL 62565 resulted in days away from work. Employee was CNA in nursing homes.
Where did this happen?
- Establishment
- Shelbyville Manor
- Parent company
- Unlimited Development Inc. #3
- Street
- 1111 West North 12th Street
- City
- Shelbyville
- State
- IL
- ZIP
- 62565
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
Assisting resident to toilet.
What happened
[REDACTED] tripped over a walker in the resident room.
Injury or illness
Pain present to left shoulder.
Object or substance involved
Fall after tripping over walker.
Summary line
Shoulder Pain
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing homes
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 125
- Hours worked at this establishment (2024 total)
- 196,489
- EIN
- 364094409
- Establishment ID
- 201649
- Employer case #
- 01
When (timing detail)
- Date of incident
- Shift started
- 05:24
- Time of incident
- 06:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-22
More injuries at Shelbyville Manor
View Shelbyville Manor's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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