Grand Rapids, MI ·
OSHA Injury Report: 8985_20490
Injury · Job transfer or restriction
At a glance
On , an injury at 8985_20490 in 2121 Raybrook St SE, Grand Rapids, MI 49546 resulted in job transfer or restriction. Employee was RCA.
Where did this happen?
- Establishment
- 8985_20490
- Parent company
- Holland Home
- Street
- 2121 Raybrook St SE
- City
- Grand Rapids
- State
- MI
- ZIP
- 49546
- On-site location
- Dinning Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 27
Before the incident
Assisting a resident with her walker.
What happened
Resident stood up from the dinning room table and lost balance. Staff tried to break the fall twisting ankle and wrist
Injury or illness
Sprain of right wrist and ankle
Object or substance involved
Resident
Summary line
Sprain of right wrist and foot
Employee and industry
- Job description
- RCA
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 623110
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 360
- Hours worked at this establishment (2025 total)
- 529,766
- EIN
- 381366927
- Establishment ID
- 1503498
- Employer case #
- 6072184
When (timing detail)
- Date of incident
- Time of incident
- 12:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-24
More injuries at 8985_20490
View 8985_20490's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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