Hospitals, general medical and surgical · Iowa

Adair County Health System

Greenfield, IA · ~112 workers · 2 years of OSHA Injury Tracking Application data.

A
Excellent Safety Record
1.7
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

Adair County Health System runs at 23% of its industry's injury rate - far safer than the typical Hospitals, general medical and surgical workplace, earning a grade A.

Adair County Health System: 1.7 TCR = 23% of Hospitals, general medical and surgical BLS 7.5 · 2y Form 300A (see methodology below)

Adair County Health System safety composite

Adair County Health System scores strongest on total case rate (tcr) (safer than 91% of same-industry peers) and weakest on fatalities (safer than 52%), 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).

B

81/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
A 1.72 per 100 workers

Safer than 91% of industry peers

DART rate
A 0 per 100 workers

Safer than 91% 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%).

Rising injury rate

Adair County Health System: 1.4 → 2.1 TCR

Peak year 2024 @ 2.1 TCR · DART/TCR 0× in 2024

Adair County Health System's TCR rose 0.7 from 1.4 in 2020 to 2.1 in 2024. In 2024, DART was 0× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 622110 · Greenfield, IA AT/BELOW-IND · MID

Grade A · TCR 1.7 · 23% of ind

  • DART 0.0 DART
  • RANK #12/160
  • PHOTO 10 Wilmington
  • BOOK 2y book
  • INJ 3 inj
  • SIZE ~112 FTE

Nearest TCR peer: 10 Wilmington (0.0 TCR gap)

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Adair County Health System in the TCR neighbourhood

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

TCR

What this shows Adair County Health System averages 1.7 TCR (23% of the Hospitals, general medical and surgical BLS benchmark).

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

Adair County Health System TCR series: 2020=1.4 · 2024=2.1 · BLS 7.5

Where Adair County Health System falls in its industry

6,862 Hospitals, general medical and establishments

Safer than 91% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to Iowa alone (the establishments it most directly competes with for workers and contracts): ranked #12 safest of 160 Hospitals, general medical and employers in Iowa.

Adair County Health System (112 employees, TCR 1.7) 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 Adair County Health System
Adair County Health System (112 employees, TCR 1.7) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

Adair County Health System has fewer employees than the Hospitals, general medical and surgical median and a lower 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
2024 2.1 0.0 2 0 0
2020 1.4 0.0 1 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · IA · Greenfield

6,862 Hospitals, general medical and surgical employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 9 employers in Greenfield, 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 10 Wilmington 1.7 TCR
NAICS-TCR Children's Hospital 1.7 TCR
NAICS-TCR CHS (NJPIC2) 1.7 TCR
NAICS-TCR MIKAL64 ASCENSION BORGESS ALLEGAN HOSPITAL 1.7 TCR
STATE-SIZE Diebold Nixdorf Urbandale IA 112 FTE
STATE-SIZE C&S Products Co. Inc. - North Plant 112 FTE
STATE-SIZE Farmers Union Cooperative 112 FTE
STATE-SIZE 0057 LOWE S OF BURLINGTON IA. 112 FTE
CITY-NEAR Greenfield IG 489 FTE
CITY-NEAR Cardinal IG - Greenfield IG 478 FTE
CITY-NEAR Cardinal IG -Greenfield IG 469 FTE
CITY-NEAR FAREWAY STORES, INC. 941 GREENFIELD 67 FTE
NAT-TCR Viobin Monticello 1.7 TCR
NAT-TCR Grippo Potato Chip Co 1.7 TCR
NAT-TCR McCain Foods USA, Inc 1.7 TCR
NAT-TCR Schatz Bearing Corporation 1.7 TCR
NAT-SIZE Chester A Asher 112 FTE
NAT-SIZE Tuttle Construction 112 FTE
NAT-SIZE Harborview Pierce County 112 FTE
NAT-SIZE Warren Barr Orland Park 112 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, 2020. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.