Nursing homes · Michigan

Altercare Integrated Health Systems

Big Rapids, MI · ~124 workers · 3 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
9.4
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Altercare Integrated Health Systems runs at 145% of its industry's injury rate - more dangerous than the typical Nursing homes workplace, earning a grade D.

Altercare Integrated Health Systems: 9.4 TCR = 145% of Nursing homes BLS 6.5 · 3y Form 300A (see methodology below)

Altercare Integrated Health Systems safety composite

Altercare Integrated Health Systems scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 14%), 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

30/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 9.44 per 100 workers

Safer than 30% of industry peers

DART rate
F 10.84 per 100 workers

Safer than 14% 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

Altercare Integrated Health Systems: 0.1 → 21.7 TCR

Peak year 2020 @ 21.7 TCR · DART/TCR 1.15× in 2020

Altercare Integrated Health Systems's TCR rose 21.6 from 0.1 in 2017 to 21.7 in 2020. In 2020, DART was 1.15× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Big Rapids, MI ABOVE-IND · MID

Grade D · TCR 9.4 · 145% of ind

  • DART 10.8 DART
  • RANK #294/471
  • PHOTO West Point Care Center
  • BOOK 3y book
  • INJ 23 inj
  • SIZE ~124 FTE

Nearest TCR peer: West Point Care Center (0.0 TCR gap)

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

Altercare Integrated Health Systems in the TCR neighbourhood

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

TCR

What this shows Altercare Integrated Health Systems averages 9.4 TCR (145% of the Nursing homes BLS benchmark).

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

Altercare Integrated Health Systems TCR series: 2017=0.1 · 2018=6.5 · 2020=21.7 · BLS 6.5

Where Altercare Integrated Health Systems falls in its industry

15,252 Nursing homes establishments

Safer than 30% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Michigan alone (the establishments it most directly competes with for workers and contracts): ranked #294 safest of 471 Nursing homes employers in Michigan.

Altercare Integrated Health Systems (124 employees, TCR 9.4) 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 Altercare Integrated Health Systems
Altercare Integrated Health Systems (124 employees, TCR 9.4) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Altercare Integrated Health Systems has more 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
2020 21.7 10.8 16 0 0
2018 6.5 6.5 6 0 0
2017 0.1 0.1 1 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · MI · Big Rapids

15,252 Nursing homes employers nationwide with a credible TCR · 16,393 rated employers in Michigan with headcount on file · 45 employers in Big Rapids, MI · 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 West Point Care Center 9.4 TCR
NAICS-TCR Avera Sacred Heart Majestic Bluffs 9.4 TCR
NAICS-TCR Thunder Care and Rehabilitation 9.4 TCR
NAICS-TCR The Commons 9.4 TCR
STATE-SIZE Hortech Inc. 124 FTE
STATE-SIZE Anderson Development Company 124 FTE
STATE-SIZE GM & Sons, Inc. 124 FTE
STATE-SIZE DC BYERS COMPANY 124 FTE
CITY-NEAR Big Rapids Campus 2,664 FTE
CITY-NEAR Spectrum Health Big Rapids Hospital 413 FTE
CITY-NEAR Big Rapids Products 356 FTE
CITY-NEAR WM 1719 313 FTE
NAT-TCR Adventist Home Care Services - Home Assistance 9.4 TCR
NAT-TCR FAL 9.4 TCR
NAT-TCR Water Department 9.4 TCR
NAT-TCR Weidmann Electrical Technology, Inc. 9.4 TCR
NAT-SIZE Hillcrest Educational Centers - Brookside / ITU Campus 124 FTE
NAT-SIZE LP Calhoun, LLC 124 FTE
NAT-SIZE Ace Hardware Retail Support Center (Tampa) 124 FTE
NAT-SIZE Big Rock Sports 124 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: 2020, 2018, 2017. 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.