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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: The Forum at Desert Harbor

Injury · Job transfer or restriction

On , an injury at The Forum at Desert Harbor in 13840 N. Desert Harbor, Peoria, AZ 85381 resulted in job transfer or restriction. Employee was cook in assisted-living facilities without on-site nursing care facilities.

Parent company
Five Star Senior Living
Street
13840 N. Desert Harbor
City
Peoria
State
AZ
ZIP
85381
On-site location
Independent living kitchen
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
3

chopping squash

cut her hand while chopping squash

laceration of her left middle finger and left ring finger

knife

laceration of her left middle finger

Job description
Cook
SOC code
35-2012 — Cooks, Institution and Cafeteria
NAICS code
623312 — Assisted-living facilities without on-site nursing care facilities
NAICS vintage
2022
Avg employees
82
Total hours worked
118578
EIN
842650512
Establishment ID
795668
Employer case #
5
Date of incident
Shift started
8:00:00.000
Time of incident
9:40:00.000
Filing year
2023
Submitted
01MAR24:23:20:00

View The Forum at Desert Harbor's full OSHA safety record →

10121

WM 1230

WM 3730

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.