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 500 Winchester Blvd, 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 in the shower
What happened
Assisting a resident in the shower when resident lost balance and fell on employee creating pain to left shoulder and elbow
Injury or illness
left shoulder strain and lateral epicondylitis of the left elbow
Object or substance involved
resident losing his her balance
Summary line
left shoulder strain and lateral epicondylitis of the left elbow
Employee and industry
- Job description
- PAL
- SOC code
- 9999: Uncoded
- NAICS code
- 623311: Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 128
- Hours worked at this establishment (2024 total)
- 202,840
- EIN
- 461108643
- Establishment ID
- 563210
- Employer case #
- 9
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 13:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-10
More injuries at Belmont Village San Jose
View Belmont Village San Jose's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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