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 certified Nursing Assistant 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 station Hallway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
walking down the hallway
What happened
Employee slipped and fell on a piece of food that was dropped on the floor
Injury or illness
diagnosis was R knee strain Injury of lower exrtemity
Object or substance involved
piece of food dropped on the floor
Summary line
Employee slipped and fell on food let on the floor in the hallway landed on R Knee and L Palmar surface of hand also causing low back pain
Employee and industry
- Job description
- Certified Nursing Assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 137
- Total hours worked
- 199697
- EIN
- 371439223
- Establishment ID
- 972874
- Employer case #
- AMFANI2308
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 17:40:00.000
- Submitted
- 10JAN24:19:27:00
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.