Farmville, VA —
OSHA Injury Report: Holly Manor AL/IL Operations LLC
Injury · Days away from work
At a glance
On , an injury at Holly Manor AL/IL Operations LLC in Farmville, VA 23901 resulted in days away from work. Employee was dietary Aide in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Holly Manor AL/IL Operations LLC
- Parent company
- Hill Valley Healthcare
- Street
- 2003 Cobb Street
- City
- Farmville
- State
- VA
- ZIP
- 23901
- On-site location
- Kitchen dishwasher area
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
Before the incident
working in dishwasher area
What happened
employee slipped and fell
Injury or illness
pain to forearm
Object or substance involved
wet floor
Summary line
fell hurt forearm
Employee and industry
- Job description
- dietary Aide
- SOC code
- 31-9099 — Healthcare Support Workers, All Other
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2012
- Avg employees
- 63
- Total hours worked
- 94129
- EIN
- 873949933
- Establishment ID
- 913910
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 10:05
- Time of incident
- 10:45
- Filing year
- 2025
- Submitted
- 28JAN26:18:19:00
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.