CLEARLAKE, CA —
OSHA Injury Report: AHCL-15630 18TH AVE DEPTS
Injury · Other recordable case
At a glance
On , an injury at AHCL-15630 18TH AVE DEPTS in CLEARLAKE, CA 95422 resulted in other recordable case. Employee was director RN C in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- AHCL-15630 18TH AVE DEPTS
- Parent company
- Adventist Health System West
- Street
- 15630 18TH AVE P.O. BOX 6710
- City
- CLEARLAKE
- State
- CA
- ZIP
- 95422
- On-site location
- ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] CARE
What happened
Assaulted by a Mental Health patient
Injury or illness
Bruised Head Struck by individual Patient
Object or substance involved
Patient
Summary line
Assaulted by a Mental Health patient
Employee and industry
- Job description
- Director RN C
- SOC code
- 2634069 — Medical and Health Services Managers
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Avg employees
- 438
- Total hours worked
- 743881
- EIN
- 953484589
- Establishment ID
- 1473267
- Employer case #
- 10073
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 11:30
- Filing year
- 2025
- Submitted
- 16FEB26:19:32:00
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.