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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Waupun, WI —

OSHA Injury Report: Agnesian Christian Home and Rehab

Injury · Days away from work

At a glance

On , an injury at Agnesian Christian Home and Rehab in 452 Fox Lake Road, Waupun, WI 53963 resulted in days away from work. Employee was certified Nursing Assistant LTC in nursing Care Facilities (Skilled Nursing Facilities).

Where did this happen?

Establishment
Agnesian Christian Home and Rehab
Parent company
SSM Health
Street
452 Fox Lake Road
City
Waupun
State
WI
ZIP
53963
On-site location
patient room

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
27

Before the incident

Performing patient care

What happened

during a roll and I felt a pop in the middle back

Injury or illness

Strain

Object or substance involved

Repositioning Rolling Side to Side

Summary line

Resident is heavy and we needed to find a safe way to move her closer to the edge to roll her to provide care and the other CNA providing cares writer was losing strength to keep holding and had to get nurse to help

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
100
Total hours worked
151366
EIN
390884514
Establishment ID
1182635
Employer case #
WC172925

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
20:30:00.000
Filing year
2023
Submitted
29FEB24:22:43:00

More injuries at Agnesian Christian Home and Rehab

View Agnesian Christian Home and Rehab'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.