San Jose, CA —
OSHA Injury Report: Merrill Gardens Willow Glen
Injury · Job transfer or restriction
At a glance
On , an injury at Merrill Gardens Willow Glen in San Jose, CA 95126 resulted in job transfer or restriction. Employee was dining Room Server 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
- Kitchen stairway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
Walking up the stairs.
What happened
Employee slipped going up the stairs.
Injury or illness
Pain in left hand arm hip shoulder and right knee. Scrape on left elbow.
Object or substance involved
Stairs
Summary line
Contusion of arms elbows fingers hands knees and shoulders
Employee and industry
- Job description
- Dining Room Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- 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 #
- 11
When (timing detail)
- Date of incident
- Shift started
- 6:07:00.000
- Time of incident
- 12:20:00.000
- Submitted
- 27FEB24:21:57:00
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.