Sherman Oaks, CA —
OSHA Injury Report: Belmont Village Encino
Injury · Other recordable case
At a glance
On , an injury at Belmont Village Encino in Sherman Oaks, CA 91403 resulted in other recordable case. Employee was pAL in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Belmont Village Encino
- Parent company
- Belmont Village Sr. Living
- Street
- 15451 Ventura Blvd
- City
- Sherman Oaks
- State
- CA
- ZIP
- 91403
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting a resident
What happened
Employee was assisting a resident when resident became aggitated and kicked EE in the leg. EE fell backwards and fell into a door knob on door causing a contusion to her left buttock left lower back pain and left abdominal wall.
Injury or illness
left buttocks contusion contusion to left side lower back contusion to left adbominal wall
Object or substance involved
resident
Summary line
left buttocks contusion contusion to left side lower back contusion to left adbominal wall
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
- 98
- Total hours worked
- 187204
- EIN
- 461074620
- Establishment ID
- 562739
- Employer case #
- 11
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 9:30
- Filing year
- 2024
- Submitted
- 12FEB2025:16:29:00
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.