Skilled nursing facilities · Iowa

Accura HealthCare of Marshalltown

Marshalltown, IA · ~83 workers · 3 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
19.3
Avg TCR
6.5
Industry avg
0
Fatalities
Subscribe to safety-record updates (RSS)

The verdict

Accura HealthCare of Marshalltown runs at 297% of its industry's injury rate - far more dangerous than the typical Skilled nursing facilities workplace, earning a grade F.

Accura HealthCare of Marshalltown: 19.3 TCR = 297% of Skilled nursing facilities BLS 6.5 · 3y Form 300A (see methodology below)

Accura HealthCare of Marshalltown safety composite

Accura HealthCare of Marshalltown scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 5%), 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).

F

17/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 19.32 per 100 workers

Safer than 6% of industry peers

DART rate
F 22.47 per 100 workers

Safer than 5% 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%).

Rising injury rate

Accura HealthCare of Marshalltown: 11.4 → 24.1 TCR

Peak year 2023 @ 24.1 TCR · DART/TCR 1.16× in 2023

Accura HealthCare of Marshalltown's TCR rose 12.7 from 11.4 in 2020 to 24.1 in 2023. In 2023, DART was 1.16× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

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

Grade F · TCR 19.3 · 297% of ind

  • DART 22.5 DART
  • RANK #378/396
  • PHOTO Foundations
  • BOOK 3y book
  • INJ 9 inj
  • SIZE ~83 FTE

Nearest TCR peer: Foundations (0.0 TCR gap)

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

Accura HealthCare of Marshalltown in the TCR neighbourhood

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

TCR

What this shows Accura HealthCare of Marshalltown averages 19.3 TCR (297% 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 Marshalltown TCR series: 2020=11.4 · 2021=22.5 · 2023=24.1 · BLS 6.5

Where Accura HealthCare of Marshalltown falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 6% 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 #378 safest of 396 Skilled nursing facilities employers in Iowa.

Accura HealthCare of Marshalltown (83 employees, TCR 19.3) 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 0510152025 Average employees Total Case Rate Accura HealthCare of Marshalltown
Accura HealthCare of Marshalltown (83 employees, TCR 19.3) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Accura HealthCare of Marshalltown 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
2023 24.1 22.5 4 11 0
2021 22.5 22.5 0 14 0
2020 11.4 8.6 5 3 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Marshalltown

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 67 employers in Marshalltown, 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 Foundations 19.3 TCR
NAICS-TCR Symphony at The Tillers 19.3 TCR
NAICS-TCR Gosnell Health and Rehab 19.3 TCR
NAICS-TCR Continuing Healthcare of Lisbon 19.3 TCR
STATE-SIZE Greater Des Moines Habitat for Humanity 83 FTE
STATE-SIZE W.A. Klinger, L.L.C. 83 FTE
STATE-SIZE Concrete Paving Overhead East (7101) 83 FTE
STATE-SIZE Gethmann Construction Co., Inc. 83 FTE
CITY-NEAR Swift Pork Company 2,350 FTE
CITY-NEAR JBS Marshalltown 2,231 FTE
CITY-NEAR Iowa Veterans Home 1,067 FTE
CITY-NEAR Lennox Residential Marshalltown 755 FTE
NAT-TCR Store 1155 19.3 TCR
NAT-TCR 616 Oak1000 19.3 TCR
NAT-TCR Foundations 19.3 TCR
NAT-TCR 1095 Middlebury Rd Watertown, Ct 06795 19.3 TCR
NAT-SIZE Unit 515 83 FTE
NAT-SIZE Bria of Chicago Heights 83 FTE
NAT-SIZE The Cabana at Jensen Dunes, LLC 83 FTE
NAT-SIZE Canterbury Enterprises, Inc. 83 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: 2023, 2021, 2020. 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.