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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Kennesaw, GA —

OSHA Injury Report: Shady Grove Rest Home, Inc

Injury · Other recordable case

At a glance

On , an injury at Shady Grove Rest Home, Inc in 1780 Old Hwy 41 NW, Kennesaw, GA 30152 resulted in other recordable case. Employee was lPN in nursing homes.

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Where did this happen?

Establishment
Shady Grove Rest Home, Inc
Parent company
The Parkside Group
Street
1780 Old Hwy 41 NW
City
Kennesaw
State
GA
ZIP
30152
On-site location
nurses station breezeway

What was the outcome?

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

Before the incident

walking

What happened

slipped and fell over a bucket of water

Injury or illness

slipped and fell over bucket of water

Object or substance involved

bucket of water

Summary line

slip and fall

Employee and industry

Job description
LPN
SOC code
29-2061 — Licensed Practical and Licensed Vocational Nurses
NAICS code
623110 — Nursing homes
NAICS vintage
2022
Avg employees
165
Total hours worked
197018
EIN
580951595
Establishment ID
1211630
Employer case #
622

When (timing detail)

Date of incident
Shift started
3:00:00.000
Filing year
2023
Submitted
01MAR24:22:11:00

More injuries at Shady Grove Rest Home, Inc

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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.