Woodburn, OR ·
OSHA Injury Report: Country Meadows Village
Injury · Job transfer or restriction
At a glance
On , an injury at Country Meadows Village in 155 South Evergreen Rd, Woodburn, OR 97071 resulted in job transfer or restriction. Employee was waitress in retirement homes without nursing care.
Where did this happen?
- Establishment
- Country Meadows Village
- Parent company
- Country Meadows Village
- Street
- 155 South Evergreen Rd
- City
- Woodburn
- State
- OR
- ZIP
- 97071
- On-site location
- Dining Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
Serving meals.
What happened
[REDACTED]
Injury or illness
Left Knee Contusion
Object or substance involved
N A
Summary line
Fell and hurt knee
Employee and industry
- Job description
- Waitress
- SOC code
- 35-3031: Waiters and Waitresses
- NAICS code
- 623312: Retirement homes without nursing care
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 80
- Hours worked at this establishment (2023 total)
- 122,940
- EIN
- 900053084
- Establishment ID
- 480118
- Employer case #
- 8663014A
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 17:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-23
More injuries at Country Meadows Village
View Country Meadows Village's full OSHA safety record →
More injuries in this industry (NAICS 623312)
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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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