Phoenix, AZ —
OSHA Injury Report: SRCV-Haven LLC, dba Desert Haven Care Center
Injury · Job transfer or restriction
At a glance
On , an injury at SRCV-Haven LLC, dba Desert Haven Care Center in Phoenix, AZ 85016 resulted in job transfer or restriction. Employee was housekeeping attendant in skilled nursing facilities.
Where did this happen?
- Establishment
- SRCV-Haven LLC, dba Desert Haven Care Center
- Parent company
- SRCV-Haven LLC, dba Desert Haven Care Center
- Street
- 2645 E Thomas Rd
- City
- Phoenix
- State
- AZ
- ZIP
- 85016
- On-site location
- Nursing Unit Hallway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 1
Before the incident
Cleaning the floors
What happened
Slipped and fell on wet floor causing impact with L Hip
Injury or illness
L Hip Injury
Object or substance involved
Wet floor
Summary line
L hip injury from slip or fall on the same level from wet floor
Employee and industry
- Job description
- Housekeeping attendant
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 137
- Total hours worked
- 199697
- EIN
- 371439223
- Establishment ID
- 972874
- Employer case #
- W23SA00521
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 12:35:00.000
- Submitted
- 10JAN24:19:21:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.