Injury Line: North Fork Mt Pleasant, L.L.C Dba Carebridge Assis
| Inspection Nr | 313753469 |
| Investigation Nr | 202080255 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Heat (Envir/Mech) |
| Event Type | Other |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Health aides, except nursing |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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