Carol Stream, IL —
OSHA Injury Report: Belmont Village Geneva Road
Injury · Job transfer or restriction
At a glance
On , an injury at Belmont Village Geneva Road in Carol Stream, IL 60188 resulted in job transfer or restriction. Employee was pAL in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Belmont Village Geneva Road
- Parent company
- Belmont Village Sr. Living
- Street
- 545 Belmont Lane
- City
- Carol Stream
- State
- IL
- ZIP
- 60188
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
Assisting resident who lost their balance
What happened
Assisting resident reisdent lost balance ee helped resident to the floor and resident landed on ee 's foot which caused her to fall backwards and injure her low back and rt shoulder
Injury or illness
Contusion to back wall of thorax
Object or substance involved
resident
Summary line
Assisting resident reisdent lost balance ee helped resident to the floor and resident landed on ee 's foot which caused her to fall backwards and injure her low back and rt shoulder
Employee and industry
- Job description
- PAL
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 133
- Total hours worked
- 214363
- EIN
- 461135465
- Establishment ID
- 562755
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 20:10:00.000
- Submitted
- 05FEB24:20:56:00
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.