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Inspection Detail

Inspection: 314332982 - San Miguel Villa

Inspection Information - Office: American Canyon District Office

 

Inspection Nr: 314332982
Report ID: 0950622
Date Opened: 12/04/2012

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


Related Activity
Type Activity Nr Safety Health
Accident 102693199

Investigation Summary

Investigation Nr: 202509626
Event: 11/26/2012
Nurse Fractures Hip in Fall after Being Pushed by Patient

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 314332982 Hospitalized injury Fracture Licensed practical nurses
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