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 housekeeper 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
- Unit 221 Restroom
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
walking out of bathroom
What happened
tripped over mop stick
Injury or illness
ankle heel sprain
Object or substance involved
mop stick floor
Summary line
ankle heel strain from falling to the ground tripped on mop
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- 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 #
- F6L7565
When (timing detail)
- Date of incident
- Shift started
- 7:29
- Time of incident
- 10:40
- Filing year
- 2024
- Submitted
- 24FEB2025:21:00:00
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.