Woodburn, OR —
OSHA Injury Report: Country Meadows Village
Injury · Job transfer or restriction
At a glance
On , an injury at Country Meadows Village in 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
- Avg employees
- 80
- Total hours worked
- 122940
- EIN
- 900053084
- Establishment ID
- 480118
- Employer case #
- 8663014A
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 17:00:00.000
- Submitted
- 23JAN24:18:26:00
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.