Santa Rosa, CA —
OSHA Injury Report: Fountaingrove Lodge
Injury · Job transfer or restriction
At a glance
On , an injury at Fountaingrove Lodge in Santa Rosa, CA 95403 resulted in job transfer or restriction. Employee was maintenance Tech 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
- Resident apartment
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 36
Before the incident
Maintenance work in resident apartment
What happened
closet door swung closed and hit elbow
Injury or illness
elbow scratch with bleeding and bruising
Object or substance involved
closet door
Summary line
[REDACTED] scratch from closing closet door
Employee and industry
- Job description
- Maintenance Tech
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- 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 #
- F1R9370
When (timing detail)
- Date of incident
- Shift started
- 8:26:00.000
- Submitted
- 06FEB24:22:32:00
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.