Peoria, AZ —
OSHA Injury Report: The Forum at Desert Harbor
Injury · Days away from work
At a glance
On , an injury at The Forum at Desert Harbor in Peoria, AZ 85381 resulted in days away from work. Employee was housekeeper in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- The Forum at Desert Harbor
- Parent company
- Five Star Senior Living
- Street
- 13840 N. Desert Harbor
- City
- Peoria
- State
- AZ
- ZIP
- 85381
- On-site location
- resident apartment
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
team member was making a residents bed
What happened
team member tripped while walking around the bed
Injury or illness
sprained left big toe and right elbow contusion
Object or substance involved
the carpeted floor
Summary line
left foot and right elbow
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 82
- Total hours worked
- 118578
- EIN
- 842650512
- Establishment ID
- 795668
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 01MAR24:22:35:00
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.