Inspection Detail
Inspection: 314332982 - San Miguel Villa
Inspection Information - Office: American Canyon District Office
Site Address:
San Miguel Villa
1050 San Miguel Rd
Concord, CA 94518
Mailing Address:
, , 00000
Union Status: Union
SIC:8361
NAICS: 623990/Other Residential Care Facilities
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/07/2013
Emphasis:
Case Closed: 01/08/2013
Type | Activity Nr | Safety | Health |
---|---|---|---|
Accident | 102693199 |
Investigation Summary
On November 26, 2012, Employee #1, a 56-year-old female with San Miguel Villa reported for the night shift. Earlier a CNA staff member and a coworker came to work at 3:00 and took one of their charges, a Patient, under Employee #1's supervision, to a shower at around 3:30. The coworker reported to Employee #1 after the shower that Patient was agitated. Employee #1 went to get the Patient's prescription for agitation. As Employee #1 was walking at right side of hallway, facing the kitchen, leaving the nursing station, just past the fire door, Employee #1 felt someone push her hard from behind. Employee #1 fell hard on her left side, tumbling directly on the hip, breaking it with multiple fractures. The coworker who witnessed the event said "it was the Patient who pushed Employee #1." The coworker called a supervisor, who then called the Administrator, who instructed a nurse to call 911. Employee #1 was transported to the hospital. Due to multiple fractures to the hip, Employee #1 had a complete hip replacement on November 27, 2012 and a complication kept her in the hospital until December 3, 2012.
Keywords: FRACTURE, HEALTH CARE WORKER, FALL, WORKPLACE VIOLENCE, HIP
# | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
---|---|---|---|---|---|---|
1 | 314332982 | Hospitalized injury | Fracture | Licensed practical nurses |