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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Fond du Lac, WI —

OSHA Injury Report: Agnesian St. Francis Home

Injury · Job transfer or restriction

At a glance

On , an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in job transfer or restriction. Employee was certified Nursing Assistant LTC in nursing Care Facilities (Skilled Nursing Facilities).

Where did this happen?

Establishment
Agnesian St. Francis Home
Parent company
SSM Health
Street
33 Everett Street
City
Fond du Lac
State
WI
ZIP
54935
On-site location
Patient Room

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
94

Before the incident

Boosting patient up in bed

What happened

residents room doing a two assist boost in bed and upon reaching down to grab the draw sheet and boost resident 220 my scapula dislocated Didnt know it was dislocated upon injury just thought it was bad shoulder pain until my chiropractor visit on [REDACTED] My chiropractor confirmed it was dislocated and since I was working on in dislocated shoulder for the few days after I was straining my rotator cuff

Injury or illness

Dislocation

Object or substance involved

Repositioning Boosting up Toward Head

Summary line

Was in residents room doing a two assist boost in bed and upon reaching down to grab the draw sheet and boost resident 220 my scapula dislocated Didnt know it was dislocated upon injury just thought it was bad shoulder pain until my chiropractor visit

Employee and industry

Job description
Certified Nursing Assistant LTC
SOC code
31-1131 — Nursing Assistants
NAICS code
623110 — Nursing Care Facilities (Skilled Nursing Facilities)
NAICS vintage
2022
Avg employees
188
Total hours worked
264568
EIN
391029998
Establishment ID
662786
Employer case #
WC170916

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
19:00:00.000
Filing year
2023
Submitted
29FEB24:21:33:00

More injuries at Agnesian St. Francis Home

View Agnesian St. Francis Home'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.