SAN PEDRO, CA ·
OSHA Injury Report: CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
Injury · Days away from work
At a glance
On , an injury at CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA in 1322 W SIXTH ST, SAN PEDRO, CA 90732 resulted in days away from work. Employee was certified Nursing Assistant in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
- Parent company
- Providence Health and Services
- Street
- 1322 W SIXTH ST
- City
- SAN PEDRO
- State
- CA
- ZIP
- 90732
- On-site location
- room 121 B bed
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Incontinence Care
What happened
[REDACTED] was changing a pt in bed 121B. When walking to the other side of the bed [REDACTED] hit R knee on the 121A bed. Bed was in the incorrect position.
Injury or illness
Knee Right Contusion
Object or substance involved
Patient bed
Summary line
Knee Right Contusion
Employee and industry
- Job description
- Certified Nursing Assistant
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 171
- Hours worked at this establishment (2025 total)
- 305,111
- EIN
- 910725998
- Establishment ID
- 1191252
- Employer case #
- 1847-WC-2
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 12:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-26
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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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