Shelbyville, IL ·
OSHA Injury Report: Shelbyville Manor
Injury · Other recordable case
At a glance
On , an injury at Shelbyville Manor in 1111 West North 12th Street, Shelbyville, IL 62565 resulted in other recordable case. 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
- Shower Room on Liberty Court
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting resident out of shower stall
What happened
C.N.A. slipped on wet floor and shower chair got caught on lip of staff causing both employee and resident to fall.
Injury or illness
Laceration to lower lip and abrasion to face.
Object or substance involved
Water on floor and shower chair catching on lip.
Summary line
Laceration to lip Abrasion to face
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 #
- 04
When (timing detail)
- Date of incident
- Shift started
- 05:26
- Time of incident
- 08:55
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-22
More injuries at Shelbyville Manor
View Shelbyville Manor's full OSHA safety record →
More injuries in this industry (NAICS 623110)
More injuries in IL
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.