Santa Rosa, CA ·
OSHA Injury Report: Spring Lake Village
Injury · Job transfer or restriction
At a glance
On , an injury at Spring Lake Village in 5555 Montgomery Dr., Santa Rosa, CA 95409 resulted in job transfer or restriction. Employee was certified Nursing Assistant in retirement communities, continuing care.
Where did this happen?
- Establishment
- Spring Lake Village
- Parent company
- Front Porch
- Street
- 5555 Montgomery Dr.
- City
- Santa Rosa
- State
- CA
- ZIP
- 95409
- On-site location
- Skilled Nursing
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 17
Before the incident
EE was transferring a resident from wheechair to the bed
What happened
residnet lost balance and began to fall. Resident reached for EE and pushed them
Injury or illness
EE sprained Left knee low back and both shoulders
Object or substance involved
resident
Summary line
EE Injured her lower back shoulders and left knee while helping resident to bed.
Employee and industry
- Job description
- Certified Nursing Assistant
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623311: Retirement communities, continuing care
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 226
- Hours worked at this establishment (2025 total)
- 388,679
- EIN
- 954538269
- Establishment ID
- 1125235
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 06:30
- Time of incident
- 12:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-03
More injuries at Spring Lake Village
View Spring Lake Village's full OSHA safety record →
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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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