LaceyWA, WA —
OSHA Injury Report: Bonaventure of Lacey LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Bonaventure of Lacey LLC in LaceyWA, WA 98503 resulted in job transfer or restriction. Employee was server in 623312 Assisted Living Facilities for the Elderly.
Where did this happen?
- Establishment
- Bonaventure of Lacey LLC
- Parent company
- MOUNTAIN WEST RETIREMENT CORP
- Street
- 4528 Intelco Loop SE
- City
- LaceyWA
- State
- WA
- ZIP
- 98503
- On-site location
- Bonaventure of Lacey
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
cutting fruit
What happened
employee was cutting fruit and talking the knife slipped and cut his right ring finger.
Injury or illness
cut on right finger
Object or substance involved
knife
Summary line
Cut right ring finger
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — 623312 Assisted Living Facilities for the Elderly
- NAICS vintage
- 2022
- Avg employees
- 67
- Total hours worked
- 93693
- EIN
- 205793200
- Establishment ID
- 1107957
- Employer case #
- BJ14494
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 12FEB24:20:16:00
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.