Venice, FL ·
OSHA Injury Report: Convival Jacaranda Trace, LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Convival Jacaranda Trace, LLC in 3600 William Penn Way, Venice, FL 34293 resulted in job transfer or restriction. Employee was certified Nursing Assistant in retirement communities, continuing care.
Where did this happen?
- Establishment
- Convival Jacaranda Trace, LLC
- Street
- 3600 William Penn Way
- City
- Venice
- State
- FL
- ZIP
- 34293
- On-site location
- Memory Care
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Employee was helping resident in the shower.
What happened
Employee turned to get a towel for the resident and the employee 's right foot slipped on the water and the employee 's right shoulder and middle back hit the wall of the shower.
Injury or illness
Employee fell into the wall on her right shoulder and middle back resulting in right bicep and rotator cuff tear.
Object or substance involved
Water in shower and wall of shower.
Summary line
Right shoulder bicep and rotator cuff tear
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 (2023 average)
- 142
- Hours worked at this establishment (2023 total)
- 234,662
- EIN
- 881227629
- Establishment ID
- 1176378
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 07:57
- Time of incident
- 10:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at Convival Jacaranda Trace, LLC
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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