Centerville, IN —
OSHA Injury Report: Ambassador Centerville Management LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Ambassador Centerville Management LLC in Centerville, IN 47330 resulted in job transfer or restriction. Employee was cNA in nursing homes.
Where did this happen?
- Establishment
- Ambassador Centerville Management LLC
- Parent company
- Ambassador Centerville Management LLC
- Street
- 705 East Main St.
- City
- Centerville
- State
- IN
- ZIP
- 47330
- On-site location
- Parking Lot dumpster
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Taking out the trash to the dumpster by pushing a trash barrel
What happened
slipped and fell on ice
Injury or illness
Right hip pain x-rayed
Object or substance involved
Ice
Summary line
Right hip pain from fall on ice
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 165
- Total hours worked
- 5269295
- EIN
- 880564555
- Establishment ID
- 958251
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 22:05:00.000
- Submitted
- 08FEB24:20:02:00
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.