Nursing homes · Iowa

Accura Healthcare of Shenandoah

Shenandoah, IA · ~50 workers · 2 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
15.3
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Accura Healthcare of Shenandoah runs at 235% of its industry's injury rate - far more dangerous than the typical Nursing homes workplace, earning a grade F.

Accura Healthcare of Shenandoah: 15.3 TCR = 235% of Nursing homes BLS 6.5 · 2y Form 300A (see methodology below)

Accura Healthcare of Shenandoah safety composite

Accura Healthcare of Shenandoah scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 10%), 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

21/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 15.28 per 100 workers

Safer than 11% of industry peers

DART rate
F 15.28 per 100 workers

Safer than 10% 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%).

Accura Healthcare of Shenandoah held a steady TCR band

Accura Healthcare of Shenandoah's TCR held near 0.0 from 15.3 in 2021 to 15.3 in 2022. Peak filing year was 2021 at 15.3 TCR. In 2022, DART was 1× this establishment's average TCR (severity share of cases).

2021=15.3 · 2022=15.3

OSHA ITA Form 300A scorecard

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

Grade F · TCR 15.3 · 235% of ind

  • DART 15.3 DART
  • RANK #355/396
  • PHOTO Family Of Caring Hea…
  • BOOK 2y book
  • INJ 2 inj
  • SIZE ~50 FTE

Nearest TCR peer: Family Of Caring Healthcare at Ridgewood LLC (0.0 TCR gap)

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

Accura Healthcare of Shenandoah in the TCR neighbourhood

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

TCR

What this shows Accura Healthcare of Shenandoah averages 15.3 TCR (235% of the Nursing homes BLS benchmark).

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

Accura Healthcare of Shenandoah TCR series: 2021=15.3 · 2022=15.3 · BLS 6.5

Where Accura Healthcare of Shenandoah falls in its industry

15,252 Nursing homes establishments

Safer than 11% 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 #355 safest of 396 Nursing homes employers in Iowa.

Accura Healthcare of Shenandoah (50 employees, TCR 15.3) 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 05101520 Average employees Total Case Rate Accura Healthcare of Shenandoah
Accura Healthcare of Shenandoah (50 employees, TCR 15.3) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Accura Healthcare of Shenandoah has fewer employees than the Nursing homes 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
2022 15.3 15.3 1 8 0
2021 15.3 15.3 1 8 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Shenandoah

15,252 Nursing homes employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 17 employers in Shenandoah, 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 Family Of Caring Healthcare at Ridgewood LLC 15.3 TCR
NAICS-TCR Twin View Health & Rehab 15.3 TCR
NAICS-TCR Creekview Health and Rehabilitation 15.3 TCR
NAICS-TCR Oxley Park Health and Rehabilitation 15.3 TCR
STATE-SIZE Sioux Jerseys, LLP 50 FTE
STATE-SIZE SEABOARD FOODS LP IOWA ADMIN 50 FTE
STATE-SIZE Brenneman Pork, LLLP 50 FTE
STATE-SIZE Northeast Iowa Artificial Insemination Inc. 50 FTE
CITY-NEAR Shenandoah Operations 387 FTE
CITY-NEAR Shenandoah Medical Center 332 FTE
CITY-NEAR WM 1683 161 FTE
CITY-NEAR 1683 156 FTE
NAT-TCR 055521-Oak-Airport Sta 15.3 TCR
NAT-TCR Bobcat Doosan Gwinner 15.3 TCR
NAT-TCR Metro Metals Corporation 15.3 TCR
NAT-TCR Brookdale Monterey 15.3 TCR
NAT-SIZE Empire Southwest, LLC - Deer Valley 50 FTE
NAT-SIZE TCSO Ops Pville Sub 50 FTE
NAT-SIZE Take Care of Manatee 50 FTE
NAT-SIZE HG465 50 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: 2022, 2021. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.