Palm Harbor, FL —
OSHA Injury Report: Corporate Location
Injury · Job transfer or restriction
At a glance
On , an injury at Corporate Location in Palm Harbor, FL 34684 resulted in job transfer or restriction. Employee was cNA I in 623311 Continuing Care Retirement Communities.
Where did this happen?
- Establishment
- Corporate Location
- Parent company
- ST MARK VILLAGE INC
- Street
- 2655 Nebraska Avenue
- City
- Palm Harbor
- State
- FL
- ZIP
- 34684
- On-site location
- Nebraska Campus
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
Preparing linen for patient to go to bed.
What happened
The bed skirt had a hole and it was caught on foot
Injury or illness
Resulted in falling on the ground on knees and belly.
Object or substance involved
Hole in bed skirt
Summary line
Fall
Employee and industry
- Job description
- CNA I
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623311 — 623311 Continuing Care Retirement Communities
- NAICS vintage
- 2022
- Avg employees
- 306
- Total hours worked
- 427111
- EIN
- 591953357
- Establishment ID
- 1374418
- Employer case #
- 1049754
When (timing detail)
- Date of incident
- Shift started
- 14:59
- Time of incident
- 17:45
- Filing year
- 2024
- Submitted
- 28FEB2025:21:17:00
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.