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 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 caring for resident and repositioning them
What happened
Employee was caring for resident and repositioning them
Injury or illness
Pain on Back and Abdomen
Object or substance involved
N A
Summary line
Pain on Back and Abdomen
Employee and industry
- Job description
- Home Health Aid
- SOC code
- 31-1121 — Home Health Aides
- NAICS code
- 623110 — Assisted Living Facility
- NAICS vintage
- 2022
- Avg employees
- 44
- Total hours worked
- 96383
- EIN
- 833856137
- Establishment ID
- 1115499
- Employer case #
- 7
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Filing year
- 2025
- Submitted
- 26JAN26:17:40:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.