San Jose, CA —
OSHA Injury Report: Belmont Village San Jose
Injury · Job transfer or restriction
At a glance
On , an injury at Belmont Village San Jose in San Jose, CA 95128 resulted in job transfer or restriction. Employee was pAL in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Belmont Village San Jose
- Parent company
- Belmont Village Sr. Living
- Street
- 500 Winchester Blvd
- City
- San Jose
- State
- CA
- ZIP
- 95128
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 32
Before the incident
Assisting a resident
What happened
Employee was changing a resident when turning and pushing the 200+lbs resident she overextended her rt arm and injured her rt arm and rt shoulder blade and back.
Injury or illness
Rt Arm strain and upper back strain
Object or substance involved
resident
Summary line
[REDACTED] shoulder and back
Employee and industry
- Job description
- PAL
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2012
- Avg employees
- 128
- Total hours worked
- 202840
- EIN
- 461108643
- Establishment ID
- 563210
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 18:30
- Filing year
- 2024
- Submitted
- 10FEB2025:18:55:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.