Maple Valley, WA · 2023-10-22

OSHA Injury Report: Bonaventure of Maple Valley LLC

Injury · Days away from work

At a glance

On 2023-10-22, an injury at Bonaventure of Maple Valley LLC in 23801 228th Avenue SE, Maple Valley, WA 98038 resulted in days away from work. Employee was office Manager in 623312 Assisted Living Facilities for the Elderly.

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Where did this happen?

Establishment: Bonaventure of Maple Valley LLC
Parent company: MOUNTAIN WEST RETIREMENT CORP
Street: 23801 228th Avenue SE
City: Maple Valley
State: WA
ZIP: 98038
On-site location: Bonaventure of Maple Valley

What was the outcome?

Outcome: Days away from work (code 2)
Type: Injury (code 1)
Days away from work: 1
Days restricted or transferred: 16

Before the incident

[REDACTED] was cleaning the Sales Mangers office.

What happened

[REDACTED] picked up the black chair to move it over and reached forward with her left hand holding the vacuum to clean behind the chair. the twisting motion tweaked her back.

Injury or illness

Back injury.

Object or substance involved

Cleaning vacuuming.

Summary line

Back Injury

Employee and industry

Job description: Office Manager
SOC code: 43-1011: First-Line Supervisors of Office and Administrative Support Workers
NAICS code: 623312: 623312 Assisted Living Facilities for the Elderly
NAICS vintage: 2022
Employees at this establishment (2023 average): 3
Hours worked at this establishment (2023 total): 3,212
EIN: 921803886
Establishment ID: 1107962
Employer case #: BK80731

When (timing detail)

Date of incident: 2023-10-22
Shift started: 08:00
Time of incident: 09:00
Filing year: 2023
Submitted to OSHA: 2024-02-12

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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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