Centerville, IN —
OSHA Injury Report: Ambassador Centerville Management LLC
Injury · Other recordable case
At a glance
On , an injury at Ambassador Centerville Management LLC in Centerville, IN 47330 resulted in other recordable case. Employee was housekeeping in nursing Care Facility.
Where did this happen?
- Establishment
- Ambassador Centerville Management LLC
- Parent company
- Ambassador Centerville Management LLC
- Street
- 705 East Main Street
- City
- Centerville
- State
- IN
- ZIP
- 47330
- On-site location
- Outside north patio
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning up the smoking area on the north patio.
What happened
She was cleaning up the smoking area on the north patio. She went to get the trash and slipped and fell on the ice.
Injury or illness
pain
Object or substance involved
Ice
Summary line
Slipped on ice getting trash off patio
Employee and industry
- Job description
- Housekeeping
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623110 — Nursing Care Facility
- NAICS vintage
- 2012
- Avg employees
- 180
- Total hours worked
- 243445
- Establishment ID
- 958251
- Employer case #
- 0001
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 12:50
- Filing year
- 2024
- Submitted
- 10FEB2025:21:22:00
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.