Lake Elmo, MN ·
OSHA Injury Report: Boulder Ponds Senior Living
Injury · Other recordable case
At a glance
On , an injury at Boulder Ponds Senior Living in 192 Jade Trail N, Lake Elmo, MN 55042 resulted in other recordable case. Employee was home Health Aid in assisted Living Facility.
Where did this happen?
- Establishment
- Boulder Ponds Senior Living
- Parent company
- Boulder Ponds Senior Living
- Street
- 192 Jade Trail N
- City
- Lake Elmo
- State
- MN
- ZIP
- 55042
- On-site location
- Resident Apartment
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was providing cares to resident and he hit her on the top of the head
What happened
Employee was providing cares to resident and he hit her on the top of the head
Injury or illness
No Injury noted
Object or substance involved
N A
Summary line
Head
Employee and industry
- Job description
- Home Health Aid
- SOC code
- 31-1121: Home Health Aides
- NAICS code
- 623110: Assisted Living Facility
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 44
- Hours worked at this establishment (2025 total)
- 96,383
- EIN
- 833856137
- Establishment ID
- 1115499
- Employer case #
- 5
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-26
More injuries at Boulder Ponds Senior Living
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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