LaceyWA, WA ·
OSHA Injury Report: Bonaventure of Lacey LLC
Other illness · Other recordable case
At a glance
On , an other illness at Bonaventure of Lacey LLC in 4528 Intelco Loop SE, LaceyWA, WA 98503 resulted in other recordable case. Employee was dining Services Manager 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
- Other illness (code 6)
Before the incident
Unknown
What happened
unknown
Injury or illness
unknown
Object or substance involved
unknown
Summary line
Mental exhaustion
Employee and industry
- Job description
- Dining Services Manager
- SOC code
- 9999: Uncoded
- 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 #
- ZB62958
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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