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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Grand Rapids, MI —

OSHA Injury Report: Raybrook Manor

Injury · Job transfer or restriction

At a glance

On , an injury at Raybrook Manor in 2121 Raybrook St SE, Grand Rapids, MI 49546 resulted in job transfer or restriction. Employee was cNA in retirement homes with nursing care.

Where did this happen?

Establishment
Raybrook Manor
Parent company
Holland Home
Street
2121 Raybrook St SE
City
Grand Rapids
State
MI
ZIP
49546
On-site location
Residents Room

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
6

Before the incident

Playing balloon volley with the participants

What happened

Lost balance while playing balloon volley and landed on left knee.

Injury or illness

Strain sprain left knee.

Object or substance involved

N A

Summary line

Left knee strain

Employee and industry

Job description
CNA
SOC code
31-1131 — Nursing Assistants
NAICS code
623110 — Retirement homes with nursing care
NAICS vintage
2022
Avg employees
617
Total hours worked
552466
EIN
381366927
Establishment ID
278300
Employer case #
2023-6

When (timing detail)

Date of incident
Shift started
8:00:00.000
Time of incident
14:30:00.000
Filing year
2023
Submitted
20FEB24:20:46:00

More injuries at Raybrook Manor

View Raybrook Manor's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.