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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 admin Spv RN LTC S 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
77

Before the incident

Regular job duties

What happened

reacted in a way to help prevent the fall I was able to prevent the fall by assisting him back to bed

Injury or illness

Strain

Object or substance involved

Fall Prevention Preventing Patient from Fall

Summary line

Resident was attempting to get out of bed As I was walking into the room I noticed that he was beginning to fall I reacted in a way to help prevent the fall I was able to prevent the fall by assisting him back to bed

Employee and industry

Job description
Admin Spv RN LTC S
SOC code
29-2061 — Licensed Practical and Licensed Vocational Nurses
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 #
WC171045

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
8:00:00.000
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.