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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Bloomington, IN —

OSHA Injury Report: EV Bloomington Employer LLC - 528634

Injury · Other recordable case

At a glance

On , an injury at EV Bloomington Employer LLC - 528634 in 3607 S. Heirloom Drive, Bloomington, Bloomington, IN 47401 resulted in other recordable case. Employee was nursing Assistant in assisted-living facilities with on-site nursing facilities.

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Where did this happen?

Establishment
EV Bloomington Employer LLC - 528634
Parent company
Evergreen Village at Bloomington
Street
3607 S. Heirloom Drive, Bloomington
City
Bloomington
State
IN
ZIP
47401
On-site location
Unknown

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

ambulating resident

What happened

EE states after walking with a patient she was assisting the patient into her bed when she felt pain in her lower left abdomen. Supervisor is not aware.

Injury or illness

Resident Patient Handling

Object or substance involved

patient

Summary line

Abdomen including groin

Employee and industry

Job description
Nursing Assistant
SOC code
31-1131 — Nursing Assistants
NAICS code
623311 — Assisted-living facilities with on-site nursing facilities
NAICS vintage
2022
Avg employees
72
Total hours worked
100215
Establishment ID
1295646
Employer case #
UHC2306879

When (timing detail)

Date of incident
Shift started
18:00
Time of incident
19:45
Filing year
2024
Submitted
07FEB2025:18:33:00

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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 — no per-record IMIS deep link exists.