Santa Rosa, CA —
OSHA Injury Report: Fountaingrove Lodge
Injury · Days away from work
At a glance
On , an injury at Fountaingrove Lodge in Santa Rosa, CA 95403 resulted in days away from work. Employee was activities Coordinator in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Fountaingrove Lodge
- Parent company
- Well Oak CCRC Tenant LLC
- Street
- 4210 Thomas Lake Harris Dr
- City
- Santa Rosa
- State
- CA
- ZIP
- 95403
- On-site location
- Activities Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
- Days restricted or transferred
- 7
Before the incident
Closing bird cage in Activity Room
What happened
Resident was combative and attached the injured worker
Injury or illness
Neck soft tissue injury broken nail
Object or substance involved
resident
Summary line
Resident became combative and grabbed injured worker by hair pain to head neck and broke L 3rd nail off
Employee and industry
- Job description
- Activities Coordinator
- SOC code
- 39-9032 — Recreation Workers
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 183374
- EIN
- 882559005
- Establishment ID
- 997512
- Employer case #
- F0Z1735
When (timing detail)
- Date of incident
- Shift started
- 7:33:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 06FEB24:22:29:00
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.