Carol Stream, IL —
OSHA Injury Report: Belmont Village Geneva Road
Injury · Days away from work
At a glance
On , an injury at Belmont Village Geneva Road in Carol Stream, IL 60188 resulted in days away from work. Employee was server in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Belmont Village Geneva Road
- Parent company
- Belmont Village Sr. Living
- Street
- 545 Belmont Lane
- City
- Carol Stream
- State
- IL
- ZIP
- 60188
- On-site location
- Dining Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 68
Before the incident
walking into breakroom
What happened
tripped over cardboard box when walking into breakroom
Injury or illness
fractured left hip
Object or substance involved
cardboard box
Summary line
fracture left hip
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2012
- Avg employees
- 135
- Total hours worked
- 221276
- EIN
- 461135465
- Establishment ID
- 562755
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 13:55
- Filing year
- 2025
- Submitted
- 04FEB26:21:47:00
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.