Spokane Valley, WA —
OSHA Injury Report: Evergreen Fountains Senior Living Community
Injury · Job transfer or restriction
At a glance
On , an injury at Evergreen Fountains Senior Living Community in Spokane Valley, WA 992165094 resulted in job transfer or restriction. Employee was server 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
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
Carrying a glass
What happened
The glass broke in his hand.
Injury or illness
His left hand was cut open requiring eight stitches.
Object or substance involved
Broken glass.
Summary line
Hand sliced open from broken glass
Employee and industry
- Job description
- Server
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 122374
- EIN
- 204943901
- Establishment ID
- 1253398
- Employer case #
- 12
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 19:05
- Filing year
- 2024
- Submitted
- 10JAN2025:18:37:00
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.