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Safety Incidents OSHA Severe Injury Reports · 2015–2025

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.

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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

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Assisting a resident with their shower

What happened

CNA was drying off the resident and felt pop twist in left arm elbow

Injury or illness

Pain to left arm elbow

Object or substance involved

Movement

Summary line

Felt pop twist in left elbow.

Employee and industry

Job description
CNA
SOC code
31-1131 — Nursing Assistants
NAICS code
623110 — Nursing homes
NAICS vintage
2022
Avg employees
108
Total hours worked
170713
EIN
364094409
Establishment ID
201649
Employer case #
2

When (timing detail)

Date of incident
Shift started
5:30:00.000
Time of incident
9:00:00.000
Filing year
2023
Submitted
16JAN24:20:43:00

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 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.