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 housekeeper 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
- North Entrance of the I building
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 180
Before the incident
Pushing the carpet extractor
What happened
EE was pushing the extractor into the building and he slipped and fell to the ground
Injury or illness
Right shoulder contusion concussion & whiplash of the neck
Object or substance involved
Concrete floor
Summary line
employee slipped on a slick spot on the carpet causing him to fall forward onto his right shoulder and hit his head on the ground.
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623311 — Retirement communities, continuing care
- NAICS vintage
- 2022
- Avg employees
- 230
- Total hours worked
- 354267
- EIN
- 954538269
- Establishment ID
- 1125235
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 15:32:00.000
- Time of incident
- 18:40:00.000
- Submitted
- 29FEB24:01:45:00
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.