Skilled nursing facilities · Iowa

Accura HealthCare of Cascade

Cascade, IA · ~60 workers · 3 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
12.5
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Accura HealthCare of Cascade runs at 193% of its industry's injury rate - more dangerous than the typical Skilled nursing facilities workplace, earning a grade D.

Accura HealthCare of Cascade: 12.5 TCR = 193% of Skilled nursing facilities BLS 6.5 · 3y Form 300A (see methodology below)

Accura HealthCare of Cascade safety composite

Accura HealthCare of Cascade scores strongest on dart rate (safer than 66% of same-industry peers) and weakest on total case rate (tcr) (safer than 18%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).

D

43/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 12.52 per 100 workers

Safer than 18% of industry peers

DART rate
C 2.07 per 100 workers

Safer than 66% of industry peers

Fatalities
D 0

Safer than 51% of industry peers

Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).

TCR Δ

−2.9

2021→2024

Accura HealthCare of Cascade injury rate improved

Accura HealthCare of Cascade's TCR fell 2.9 from 5.0 in 2021 to 2.1 in 2024. Peak filing year was 2022 at 30.5 TCR. In 2024, DART was 0.17× this establishment's average TCR (severity share of cases).

2021=5.0 · 2022=30.5 · 2024=2.1

OSHA ITA Form 300A scorecard

Establishment book 623110 · Cascade, IA ABOVE-IND · SMALL

Grade D · TCR 12.5 · 193% of ind

  • DART 2.1 DART
  • RANK #322/396
  • PHOTO The Laurels of Milford
  • BOOK 3y book
  • INJ 3 inj
  • SIZE ~60 FTE

Nearest TCR peer: The Laurels of Milford (0.0 TCR gap)

Read with this employer → · Industry book → · Iowa employers → · Look up another →

Accura HealthCare of Cascade in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Accura HealthCare of Cascade averages 12.5 TCR (193% of the Skilled nursing facilities BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Accura HealthCare of Cascade TCR series: 2021=5 · 2022=30.5 · 2024=2.1 · BLS 6.5

Where Accura HealthCare of Cascade falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 18% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Iowa alone (the establishments it most directly competes with for workers and contracts): ranked #322 safest of 396 Skilled nursing facilities employers in Iowa.

Accura HealthCare of Cascade (60 employees, TCR 12.5) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 0100200300400 05101520 Average employees Total Case Rate Accura HealthCare of Cascade
Accura HealthCare of Cascade (60 employees, TCR 12.5) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Accura HealthCare of Cascade has fewer employees than the Skilled nursing facilities median and a higher injury rate than the industry's median TCR of 6.6. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.

Year-by-Year Safety Data

Year TCR DART Injuries Illnesses Fatalities
2024 2.1 2.1 1 0 0
2022 30.5 30.5 1 18 0
2021 5.0 5.0 1 1 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Cascade

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 9 employers in Cascade, IA · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel Establishment Metric
NAICS-TCR The Laurels of Milford 12.5 TCR
NAICS-TCR Aperion Care Elgin 12.5 TCR
NAICS-TCR N and R of Maryville LLC 12.5 TCR
NAICS-TCR Bowling Green Nursing and Rehabilitation Center 12.5 TCR
STATE-SIZE MAIN OFFICE 60 FTE
STATE-SIZE Total Maintenance, Inc. 60 FTE
STATE-SIZE Dan's Overhead Doors & More 60 FTE
STATE-SIZE Cargill Inc 60 FTE
CITY-NEAR Cascade Manufacturing Company 65 FTE
CITY-NEAR Cascade 63 FTE
CITY-NEAR Shady Rest Care Center 55 FTE
CITY-NEAR Eastern Iowa Excavating & Concrete LLC 46 FTE
NAT-TCR Southern Farmland Cultivation, Inc. 12.5 TCR
NAT-TCR The Laurels of Milford 12.5 TCR
NAT-TCR 20032 PN Distribution Center 12.5 TCR
NAT-TCR King Kullen #15 12.5 TCR
NAT-SIZE The Sound Seattle 60 FTE
NAT-SIZE MetroPower Inc BR12 60 FTE
NAT-SIZE Winco Construction Company 60 FTE
NAT-SIZE Compassus Greater Denver 60 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2024, 2022, 2021. This is publicly available government data - not a legal determination of workplace conditions.

Read our methodology - how this data is sourced, computed, and verified.

Data sourced from official public datasets. See our methodology for details.