Injury Line: Pleasant View Nursing Home Of Mount Airy, Inc.
Inspection Nr | 1474655.015 |
Investigation Nr | 130663.015 |
Line Nr | 1 |
Age | 69 |
Sex | M |
Nature of Injury |   |
Part of Body |   |
Source of Injury |   |
Event Type | Other |
Environmental Factor |   |
Human Factor |   |
Occupation |   |
Degree of Injury | Hospitalized injury |
Task Assigned | Task not regularly assigned |