Clemmons, NC —
OSHA Injury Report: Clemmons Village II
Injury · Days away from work
At a glance
On , an injury at Clemmons Village II in Clemmons, NC 27012 resulted in days away from work. Employee was residend Care Assistant in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Clemmons Village II
- Parent company
- Premier Senior Living
- Street
- 6441 Holder Road
- City
- Clemmons
- State
- NC
- ZIP
- 27012
- On-site location
- parking lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 80
Before the incident
taking trash outside to the dumpster located in the parking lot
What happened
employee tripped on step up to the dumpster
Injury or illness
left side of face received abrasions contusion and bruising. left elbow fractured
Object or substance involved
pavement
Summary line
left side of face left arm
Employee and industry
- Job description
- Residend Care Assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 45
- Total hours worked
- 66798
- Establishment ID
- 499575
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 23:00:00.000
- Submitted
- 16JAN24:20:28:00
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.