Santa Rosa, CA ·
OSHA Injury Report: Spring Lake Village
Injury · Job transfer or restriction
At a glance
On , an injury at Spring Lake Village in 5555 Montgomery Dr., Santa Rosa, CA 95409 resulted in job transfer or restriction. Employee was CNA 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
- Skilled Nursing
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 76
Before the incident
repositioning a resident in bed
What happened
EE was assisting a resident up in bed when he felt a pop in his right shoulder.
Injury or illness
right shoulder strain
Object or substance involved
resident
Summary line
EE was assisting a resident up in bed when he felt a pop in his right shoulder.
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623311: Retirement communities, continuing care
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 230
- Hours worked at this establishment (2023 total)
- 354,267
- EIN
- 954538269
- Establishment ID
- 1125235
- Employer case #
- 11
When (timing detail)
- Date of incident
- Shift started
- 06:27
- Time of incident
- 10:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Spring Lake Village
View Spring Lake Village's full OSHA safety record →
More injuries in this industry (NAICS 623311)
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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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