East Providence, RI —
OSHA Injury Report: Evergreen House
Injury · Days away from work
At a glance
On , an injury at Evergreen House in East Providence, RI 02914 resulted in days away from work. Employee was cOTA in skilled nursing facilities.
Where did this happen?
- Establishment
- Evergreen House
- Parent company
- Life Care Centers of America
- Street
- 1 Evergreen Drive
- City
- East Providence
- State
- RI
- ZIP
- 02914
- On-site location
- patient room 117W
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
providing occupational therapy
What happened
Patient lost balance and the EE while trying to avoid fall patient fell on top of EE EE had lower back pain and left thigh and knee pain.
Injury or illness
acute thoracic back pain and bilateral lower back pain without sciatica
Object or substance involved
resident 's weight and walker
Summary line
Patient lost balance and the EE while trying to avoid fall patient fell on top of EE EE had lower back pain and left thigh and knee pain.
Employee and industry
- Job description
- COTA
- SOC code
- 9999 — Uncoded
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 223
- Total hours worked
- 289029
- EIN
- 620963862
- Establishment ID
- 1240297
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 8:13:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 05APR24:15:01:00
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.