Fort Wayne, IN —
OSHA Injury Report: Village at Pine Valley
Injury · Days away from work
At a glance
On , an injury at Village at Pine Valley in Fort Wayne, IN 46825 resulted in days away from work. Employee was nbhd Coordinator LPN in nursing homes.
Where did this happen?
- Establishment
- Village at Pine Valley
- Parent company
- Lutheran Life Villages
- Street
- 9802 Coldwater Road
- City
- Fort Wayne
- State
- IN
- ZIP
- 46825
- On-site location
- Lakeside Hall at Pine Valley location
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 71
Before the incident
Walking to med cart
What happened
Employee tripped over resident 's feet
Injury or illness
Fracture of left knee and sprain of back ankles and feet
Object or substance involved
Med cart and floor
Summary line
Fracture of left knee and sprain of back ankles and feet; OTHER - MULTIPLE MAJOR BODY PARTS; Med cart and floor
Employee and industry
- Job description
- Nbhd Coordinator LPN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 130
- Total hours worked
- 249999
- EIN
- 350885590
- Establishment ID
- 1116553
- Employer case #
- AS32652
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 11:55
- Filing year
- 2025
- Submitted
- 06FEB26:18:50:00
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.