Centerville, IN —
OSHA Injury Report: Ambassador Centerville Management LLC
Injury · Other recordable case
At a glance
On , an injury at Ambassador Centerville Management LLC in Centerville, IN 47330 resulted in other recordable case. Employee was housekeeping 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
- East Unit
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] was collecting trash between the bed and the wall in a resident’s room
What happened
[REDACTED] was collecting trash between the bed and the wall in a resident’s room when she stepped back and tripped over a wheelchair falling to the ground.
Injury or illness
Pain to the left leg
Object or substance involved
wheelchair
Summary line
Tripped over wheelchair and fell on left leg
Employee and industry
- Job description
- Housekeeping
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 165
- Total hours worked
- 5269295
- EIN
- 880564555
- Establishment ID
- 958251
- Employer case #
- 7
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 10:45:00.000
- Submitted
- 08FEB24:20:13:00
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.