Fort Wayne, IN ·
OSHA Injury Report: Village at Pine Valley
Injury · Job transfer or restriction
At a glance
On , an injury at Village at Pine Valley in 9802 Coldwater Road, Fort Wayne, IN 46825 resulted in job transfer or restriction. Employee was dining Services Assistant in nursing homes.
Where did this happen?
- Establishment
- Village at Pine Valley
- Parent company
- Lutheran Life Villages
- Street
- 9802 Coldwater Road
- City
- Fort Wayne
- State
- IN
- ZIP
- 46825
- On-site location
- Kitchen store room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 22
Before the incident
Collecting stock
What happened
Employee tripped over boxes on floor
Injury or illness
Contusion of right knee
Object or substance involved
Boxes floor
Summary line
Contusion of right knee
Employee and industry
- Job description
- Dining Services Assistant
- SOC code
- 35-9011: Dining Room and Cafeteria Attendants and Bartender Helpers
- NAICS code
- 623110: Nursing homes
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 119
- Hours worked at this establishment (2024 total)
- 180,070
- Establishment ID
- 1116553
- Employer case #
- AR77067
When (timing detail)
- Date of incident
- Time of incident
- 07:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-27
More injuries at Village at Pine Valley
View Village at Pine Valley's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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