Santa Rosa, CA ·
OSHA Injury Report: Spring Lake Village
Injury · Job transfer or restriction
At a glance
On , an injury at Spring Lake Village in 5555 Montgomery Dr., Santa Rosa, CA 95409 resulted in job transfer or restriction. Employee was lead Server in retirement communities, continuing care.
Where did this happen?
- Establishment
- Spring Lake Village
- Parent company
- Front Porch
- Street
- 5555 Montgomery Dr.
- City
- Santa Rosa
- State
- CA
- ZIP
- 95409
- On-site location
- Sonoma Dining Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 78
Before the incident
EE was working at the hostess station
What happened
To Go containers placed on the station began to fall and Employee reached to grab them
Injury or illness
strain of lumbar region
Object or substance involved
to-go containers
Summary line
EE injured her back while trying to prevent container boxes from falling.
Employee and industry
- Job description
- Lead Server
- SOC code
- 9999: Uncoded
- NAICS code
- 623311: Retirement communities, continuing care
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 224
- Hours worked at this establishment (2024 total)
- 370,222
- EIN
- 954538269
- Establishment ID
- 1125235
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 14:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Spring Lake Village
View Spring Lake Village's full OSHA safety record →
More injuries in this industry (NAICS 623311)
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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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