Santa Rosa, CA —
OSHA Injury Report: Spring Lake Village
Injury · Other recordable case
At a glance
On , an injury at Spring Lake Village in Santa Rosa, CA 95409 resulted in other recordable case. 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
employee was assisting a resident
What happened
EE injured her back and left arm while trying to keep a resident from falling.
Injury or illness
back and left arm sprain
Object or substance involved
resident
Summary line
EE injured her back and left arm while trying to keep a resident from falling.
Employee and industry
- Job description
- CNA
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623311 — Retirement communities, continuing care
- NAICS vintage
- 2022
- Avg employees
- 230
- Total hours worked
- 354267
- EIN
- 954538269
- Establishment ID
- 1125235
- Employer case #
- 13
When (timing detail)
- Date of incident
- Shift started
- 14:22:00.000
- Time of incident
- 20:00:00.000
- Submitted
- 29FEB24:02:14:00
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.