Garden Grove, CA ·
OSHA Injury Report: Pacific Haven Subacute & Healthcare Center
Injury · Other recordable case
At a glance
On , an injury at Pacific Haven Subacute & Healthcare Center in 12072 Trask Ave, Garden Grove, CA 92843 resulted in other recordable case. Employee was CNA in skilled nursing facilities.
Where did this happen?
- Establishment
- Pacific Haven Subacute & Healthcare Center
- Parent company
- Pacific Haven Subacute & Healthcare Center
- Street
- 12072 Trask Ave
- City
- Garden Grove
- State
- CA
- ZIP
- 92843
- On-site location
- RESIDENT ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
HELPING RESIDENT
What happened
WHILE HELPING RESIDENT WITH ANOTHER EMPLOYEE RESDENT SUDDENTLY KICKED EMPLOYEE RIGHT CHEST AND RIGHT HAND
Injury or illness
RIGHT CHEST AND RIGHT HAND
Object or substance involved
N A
Summary line
RIGHT CHEST AND RIGHT HAND
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Skilled nursing facilities
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 272
- Hours worked at this establishment (2024 total)
- 284,974
- EIN
- 330492281
- Establishment ID
- 298197
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 15:11
- Time of incident
- 22:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-20
More injuries at Pacific Haven Subacute & Healthcare Center
View Pacific Haven Subacute & Healthcare Center's full OSHA safety record →
More injuries in this industry (NAICS 623110)
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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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