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 13840 N. Desert Harbor, 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
- Employees at this establishment (2023 average)
- 82
- Hours worked at this establishment (2023 total)
- 118,578
- EIN
- 842650512
- Establishment ID
- 795668
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 11:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-01
More injuries at The Forum at Desert Harbor
View The Forum at Desert Harbor's full OSHA safety record →
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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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