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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Amador Residential Care Facility

Other illness · Other recordable case

On , an other illness at Amador Residential Care Facility in 155 Placer Drive, Jackson, CA 95642 resulted in other recordable case. Employee was cAREGIVER in assisted-living facilities without on-site nursing care facilities.

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Parent company
Amador Residential Care Facility
Street
155 Placer Drive
City
Jackson
State
CA
ZIP
95642
On-site location
RESIDENT ROOM
Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

SHE WAS CAREGIVING ASSISTING RESIDENT BACK TO BED

EMPLOYEE WAS REDIRECTING RESIDENT TO BED WHEN RESIDENT BECAME AGITATED AND ELBOWED EMPLOYEE IN THE FACE

TOOTH DISLOCATION

RESIDENT ELBOW

TOOTH DISLOCATION FROM RESIDENT [REDACTED]

Job description
CAREGIVER
SOC code
31-1122 — Personal Care Aides
NAICS code
623312 — Assisted-living facilities without on-site nursing care facilities
NAICS vintage
2022
Avg employees
27
Total hours worked
61573
Establishment ID
1042134
Employer case #
3
Date of incident
Shift started
22:00:00.000
Time of incident
0:40:00.000
Filing year
2023
Submitted
12MAR24:18:51:00

View Amador Residential Care Facility's full OSHA safety record →

10121

087-RCDC

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.