Winona Lake, IN —
OSHA Injury Report: Grace Village Health Care Facility, Inc.
Injury · Job transfer or restriction
At a glance
On , an injury at Grace Village Health Care Facility, Inc. in Winona Lake, IN 46590 resulted in job transfer or restriction. Employee was qMA in continuing care retirement communities.
Where did this happen?
- Establishment
- Grace Village Health Care Facility, Inc.
- Parent company
- Grace Village Health Care Facility, Inc.
- Street
- 337 Grace Village Drive
- City
- Winona Lake
- State
- IN
- ZIP
- 46590
- On-site location
- Assisted Living Entrance
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Walked out the Assisted Living door onto the sidewalk to go around to the Healthcare entrance
What happened
Feet slipped out from under him and he landed on his right elbow and shoulder
Injury or illness
Right shoulder strain right elbow strain left knee strain
Object or substance involved
Ground level fall
Summary line
Ground level fall right shoulder strain right elbow strain left knee strain
Employee and industry
- Job description
- QMA
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 86
- Total hours worked
- 129495
- EIN
- 351447417
- Establishment ID
- 940931
- Employer case #
- AQ09849
When (timing detail)
- Date of incident
- Shift started
- 13:02:00.000
- Time of incident
- 14:30:00.000
- Submitted
- 19FEB24:18:43:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.