Santa Rosa, CA —
OSHA Injury Report: Fountaingrove Lodge
Injury · Days away from work
At a glance
On , an injury at Fountaingrove Lodge in Santa Rosa, CA 95403 resulted in days away from work. Employee was cook in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Fountaingrove Lodge
- Parent company
- Well Oak CCRC Tenant LLC
- Street
- 4210 Thomas Lake Harris Dr
- City
- Santa Rosa
- State
- CA
- ZIP
- 95403
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
Before the incident
slicing food
What happened
cut thumb on kitchen knife
Injury or illness
cut thumb
Object or substance involved
knife
Summary line
Cut thumb on kitchen knife
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2012
- Avg employees
- 105
- Total hours worked
- 181740
- EIN
- 882559005
- Establishment ID
- 997512
- Employer case #
- F6E3496
When (timing detail)
- Date of incident
- Shift started
- 13:03
- Filing year
- 2024
- Submitted
- 24FEB2025:20:55:00
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.