General medical and surgical hospitals · Nebraska

ACH Midlands Hospital

Papillion, NE · ~270 workers · 3 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
9.2
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

ACH Midlands Hospital runs at 123% of its industry's injury rate - more dangerous than the typical General medical and surgical hospitals workplace, earning a grade D.

ACH Midlands Hospital: 9.2 TCR = 123% of General medical and surgical hospitals BLS 7.5 · 3y Form 300A (see methodology below)

ACH Midlands Hospital safety composite

ACH Midlands Hospital scores strongest on dart rate (safer than 60% of same-industry peers) and weakest on total case rate (tcr) (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).

D

38/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 9.23 per 100 workers

Safer than 10% of industry peers

DART rate
C 1.3 per 100 workers

Safer than 60% of industry peers

Fatalities
D 0

Safer than 52% 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

−1.7

2016→2019

ACH Midlands Hospital injury rate improved

ACH Midlands Hospital's TCR fell 1.7 from 9.5 in 2016 to 7.8 in 2019. Peak filing year was 2017 at 10.4 TCR. In 2019, DART was 0.14× this establishment's average TCR (severity share of cases).

2016=9.5 · 2017=10.4 · 2019=7.8

OSHA ITA Form 300A scorecard

Establishment book 622110 · Papillion, NE ABOVE-IND · MID

Grade D · TCR 9.2 · 123% of ind

  • DART 1.3 DART
  • RANK #65/77
  • PHOTO Sutter Solano Medica…
  • BOOK 3y book
  • INJ 43 inj
  • SIZE ~270 FTE

Nearest TCR peer: Sutter Solano Medical Center (110-6001) (0.0 TCR gap)

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ACH Midlands Hospital in the TCR neighbourhood

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

TCR

What this shows ACH Midlands Hospital averages 9.2 TCR (123% of the General medical and surgical hospitals BLS benchmark).

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

ACH Midlands Hospital TCR series: 2016=9.5 · 2017=10.4 · 2019=7.8 · BLS 7.5

Where ACH Midlands Hospital falls in its industry

6,862 General medical and surgical h establishments

Safer than 10% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to Nebraska alone (the establishments it most directly competes with for workers and contracts): ranked #65 safest of 77 General medical and surgical h employers in Nebraska.

ACH Midlands Hospital (270 employees, TCR 9.2) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2 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 02,0004,0006,000 05101520 Average employees Total Case Rate ACH Midlands Hospital
ACH Midlands Hospital (270 employees, TCR 9.2) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

ACH Midlands Hospital has fewer employees than the General medical and surgical hospitals median and a higher injury rate than the industry's median TCR of 5.2. 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
2019 7.8 1.3 9 3 0
2017 10.4 6.6 16 3 0
2016 9.5 4.5 18 1 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · NE · Papillion

6,862 General medical and surgical hospitals employers nationwide with a credible TCR · 3,594 rated employers in Nebraska with headcount on file · 60 employers in Papillion, NE · 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 Sutter Solano Medical Center (110-6001) 9.2 TCR
NAICS-TCR Fall River Health Services 9.2 TCR
NAICS-TCR Community Hospital of Huntington Park 9.2 TCR
NAICS-TCR Florida Hospital Kissimmee 9.2 TCR
STATE-SIZE Omni Hotels Management Corporation 270 FTE
STATE-SIZE Neapco Components 269 FTE
STATE-SIZE WM 2784 268 FTE
STATE-SIZE 790 272 FTE
CITY-NEAR Infogroup PapS9L 523 FTE
CITY-NEAR 1671 413 FTE
CITY-NEAR Papillion - Main Store 411 FTE
CITY-NEAR WM 1671 411 FTE
NAT-TCR Mission Linen Supply Union City 4804 9.2 TCR
NAT-TCR 1414 E Idaho Millwork Door 9.2 TCR
NAT-TCR Superior Grocers # 110 9.2 TCR
NAT-TCR Cell O Core 9.2 TCR
NAT-SIZE Hopkins Center For Rehabilitation and Healthcare 270 FTE
NAT-SIZE Paris Healthcare Linen Services--DuBois 270 FTE
NAT-SIZE Quality Air Heating & Cooling, Inc. 270 FTE
NAT-SIZE CODA, Inc. 270 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: 2019, 2017, 2016. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.