Santa Rosa, CA —
OSHA Injury Report: Fountaingrove Lodge
Injury · Job transfer or restriction
At a glance
On , an injury at Fountaingrove Lodge in Santa Rosa, CA 95403 resulted in job transfer or restriction. 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
cutting food
What happened
sliced left thumb
Injury or illness
cut
Object or substance involved
knife
Summary line
cut left 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 #
- F6E9950
When (timing detail)
- Date of incident
- Shift started
- 12:16
- Time of incident
- 15:00
- Filing year
- 2024
- Submitted
- 24FEB2025:20:56:00
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.