San Jose, CA —
OSHA Injury Report: Merrill Gardens Willow Glen
Injury · Other recordable case
At a glance
On , an injury at Merrill Gardens Willow Glen in San Jose, CA 95126 resulted in other recordable case. Employee was caregiver in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Merrill Gardens Willow Glen
- Parent company
- Merrill Gardens LLC
- Street
- 1420 Curci Drive
- City
- San Jose
- State
- CA
- ZIP
- 95126
- On-site location
- Assisted Living
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Participating in a resident elopement drill.
What happened
Employee was running down the hallway when she slipped and fell on her hands and knees.
Injury or illness
Strain in left wrist.
Object or substance involved
Carpet floor and gravity.
Summary line
Contusion on hands and knees
Employee and industry
- Job description
- Caregiver
- SOC code
- 31-1122 — Personal Care Aides
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 58
- Total hours worked
- 89409
- EIN
- 852832999
- Establishment ID
- 1052419
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 15:15:00.000
- Submitted
- 27FEB24:20:48:00
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.