Chicago, IL —
OSHA Injury Report: Winston Manor Convalescent and Nursing Home
Injury · Days away from work
At a glance
On , an injury at Winston Manor Convalescent and Nursing Home in 2155 W. Pierce Ave., Chicago, IL 60622 resulted in days away from work. Employee was certified Nursing Assistant in nursing homes.
Where did this happen?
- Establishment
- Winston Manor Convalescent and Nursing Home
- Parent company
- Nivram Management
- Street
- 2155 W. Pierce Ave.
- City
- Chicago
- State
- IL
- ZIP
- 60622
- On-site location
- By the 4th floor elevator
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
The employee was standing by the 4th floor elevator waiting for it to arrive.
What happened
On [REDACTED] at approximately [REDACTED] the employee went to the 4th [REDACTED] to drop off her belongings. At approximately [REDACTED] the employee stood by the elevator waiting for the elevator to arrive. The resident walked towards the elevator and shouted to the employee. The resident then went 6 steps away from the employee and started yelling and walking towards the employee. The resident pushed the employee to the floor. The employee then hit her head on the wall and fell down on the floor. Then the resident continued to pace in the hallway and went back to his room. The nurse on duty called [REDACTED] and continued to monitor the resident and employee until the paramedics arrived.
Injury or illness
Left hip pain
Object or substance involved
the wall
Summary line
Left hip pain
Employee and industry
- Job description
- Certified Nursing Assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 79
- Total hours worked
- 84549
- EIN
- 363671711
- Establishment ID
- 1078438
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:30:00.000
- Filing year
- 2023
- Submitted
- 01FEB24:23:34:00
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.