Grand Rapids, MI —
OSHA Injury Report: Raybrook Manor
Injury · Job transfer or restriction
At a glance
On , an injury at Raybrook Manor in Grand Rapids, MI 49546 resulted in job transfer or restriction. Employee was cNA in retirement homes with nursing care.
Where did this happen?
- Establishment
- Raybrook Manor
- Parent company
- Holland Home
- Street
- 2121 Raybrook St SE
- City
- Grand Rapids
- State
- MI
- ZIP
- 49546
- On-site location
- Residents Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Playing balloon volley with the participants
What happened
Lost balance while playing balloon volley and landed on left knee.
Injury or illness
Strain sprain left knee.
Object or substance involved
N A
Summary line
Left knee strain
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Retirement homes with nursing care
- NAICS vintage
- 2022
- Avg employees
- 617
- Total hours worked
- 552466
- EIN
- 381366927
- Establishment ID
- 278300
- Employer case #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 14:30:00.000
- Submitted
- 20FEB24:20:46:00
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.