Santa Rosa, CA —
OSHA Injury Report: Ivy Park at Santa Rosa
Injury · Job transfer or restriction
At a glance
On , an injury at Ivy Park at Santa Rosa in 4225 Wayvern Dr, Santa Rosa, CA 95409 resulted in job transfer or restriction. Employee was care Provider in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Ivy Park at Santa Rosa
- Parent company
- Well Ivy 6 Tenant LLC
- Street
- 4225 Wayvern Dr
- City
- Santa Rosa
- State
- CA
- ZIP
- 95409
- On-site location
- Room 116B
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 57
Before the incident
assisting resident with dressing
What happened
Resident hit EE 's shoulder
Injury or illness
R shoulder strain
Object or substance involved
resident
Summary line
Right shoulder strain from assisting resident
Employee and industry
- Job description
- Care Provider
- SOC code
- 31-1122 — Personal Care Aides
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2012
- Avg employees
- 103
- Total hours worked
- 162217
- EIN
- 871441747
- Establishment ID
- 997520
- Employer case #
- F4B4577
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 9:15
- Filing year
- 2024
- Submitted
- 25FEB2025:00:11:00
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View Ivy Park at Santa Rosa'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 — no per-record IMIS deep link exists.