Spokane Valley, WA —
OSHA Injury Report: Evergreen Fountains Senior Living Community
Injury · Days away from work
At a glance
On , an injury at Evergreen Fountains Senior Living Community in Spokane Valley, WA 992165094 resulted in days away from work. Employee was housekeeper in continuing care retirement communities.
Where did this happen?
- Establishment
- Evergreen Fountains Senior Living Community
- Parent company
- Evergreen Fountains Senior Living Community
- Street
- 1201 N Evergreen Rd
- City
- Spokane Valley
- State
- WA
- ZIP
- 992165094
- On-site location
- Women's locker room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Cleaning the women 's locker room.
What happened
He tripped on a black mat and hit his head on the side of the counter.
Injury or illness
He had a small contusion that eventually grew to the size of a baseball.
Object or substance involved
Counter for the sink in the women 's locker room.
Summary line
Swollen contusion from head injury
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 122374
- EIN
- 204943901
- Establishment ID
- 1253398
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 7:30
- Filing year
- 2024
- Submitted
- 10JAN2025:18:17:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.