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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Mira Vie Montville

Injury · Other recordable case

On , an injury at Mira Vie Montville in Montville, NJ 7045 resulted in other recordable case. Employee was pCA in assisted-living facilities without on-site nursing care facilities.

Establishment
Mira Vie Montville
Parent company
Distinctive Living
Street
165 Changebridge Rd
City
Montville
State
NJ
ZIP
7045
On-site location
Residents room
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Resident pushed the team member

resident pushed the team member causing her to hit her head

head injury

resident

closed head injury from helping resident

Job description
PCA
SOC code
31-1122 — Personal Care Aides
NAICS code
623312 — Assisted-living facilities without on-site nursing care facilities
NAICS vintage
2022
Avg employees
80
Total hours worked
117577
EIN
991871164
Establishment ID
1364991
Employer case #
2
Date of incident
Filing year
2024
Submitted
28FEB2025:15:56:00

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.