LaceyWA, WA ·
OSHA Injury Report: Bonaventure of Lacey LLC
Injury · Other recordable case
At a glance
On , an injury at Bonaventure of Lacey LLC in 4528 Intelco Loop SE, LaceyWA, WA 98503 resulted in other recordable case. Employee was caregiver ALF 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was sitting in a chair at a residents kitchen table.
What happened
The employee had fainted in resident 's living room area sitting in a chair at the kitchen table. She hit her head against the wall.
Injury or illness
She hit her head against the wall.
Object or substance involved
A wall.
Summary line
Head injury
Employee and industry
- Job description
- Caregiver ALF
- SOC code
- 31-1122: Personal Care Aides
- NAICS code
- 623312: 623312 Assisted Living Facilities for the Elderly
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 67
- Hours worked at this establishment (2023 total)
- 93,693
- EIN
- 205793200
- Establishment ID
- 1107957
- Employer case #
- BJ14900
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-12
More injuries at Bonaventure of Lacey LLC
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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