Fort Wayne, IN —
OSHA Injury Report: Village at Anthony Blvd.
Injury · Other recordable case
At a glance
On , an injury at Village at Anthony Blvd. in Fort Wayne, IN 46816 resulted in other recordable case. Employee was cook in nursing homes.
Where did this happen?
- Establishment
- Village at Anthony Blvd.
- Parent company
- Lutheran Life Villages
- Street
- 6701 S. Anthony Blvd.
- City
- Fort Wayne
- State
- IN
- ZIP
- 46816
- On-site location
- Kitchen at Residential Living
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was mopping the stock room coolers freezers
What happened
While mopping employee slipped on wet floor and fell on their right knee
Injury or illness
Contusion to right knee
Object or substance involved
Wet floor; impact with floor
Summary line
Employee was mopping the stock room coolers freezers when they slipped on the wet floor and fell on their right knee causing injury
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 245
- Total hours worked
- 489161
- EIN
- 350885590
- Establishment ID
- 1116373
- Employer case #
- AS62466
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 12:30
- Filing year
- 2025
- Submitted
- 06FEB26:18:27:00
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.