Santa Rosa, CA —
OSHA Injury Report: Spring Lake Village
Injury · Days away from work
At a glance
On , an injury at Spring Lake Village in Santa Rosa, CA 95409 resulted in days away from work. Employee was server in retirement communities, continuing care.
Where did this happen?
- Establishment
- Spring Lake Village
- Parent company
- Front Porch
- Street
- 5555 Montgomery Dr.
- City
- Santa Rosa
- State
- CA
- ZIP
- 95409
- On-site location
- Dining room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 133
Before the incident
Carrying a tray of dishes
What happened
She was carrying a tray of dishes when she experianced a pain in left shoulder
Injury or illness
left should strain
Object or substance involved
tray of dishes
Summary line
hurt left shoulder
Employee and industry
- Job description
- Server
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Retirement communities, continuing care
- NAICS vintage
- 2022
- Avg employees
- 230
- Total hours worked
- 354267
- EIN
- 954538269
- Establishment ID
- 1125235
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 10:58:00.000
- Time of incident
- 13:15:00.000
- Submitted
- 29FEB24:01:40:00
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.