Skilled nursing facilities · Missouri

Big River Nursing & Rehabilitation

Cedar Hill, MO · ~116 workers · 2 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
12.6
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Big River Nursing & Rehabilitation runs at 194% of its industry's injury rate - more dangerous than the typical Skilled nursing facilities workplace, earning a grade D.

Big River Nursing & Rehabilitation: 12.6 TCR = 194% of Skilled nursing facilities BLS 6.5 · 2y Form 300A (see methodology below)

Big River Nursing & Rehabilitation safety composite

Big River Nursing & Rehabilitation scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on total case rate (tcr) (safer than 17%), 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

28/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 12.59 per 100 workers

Safer than 17% of industry peers

DART rate
F 7.18 per 100 workers

Safer than 24% 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

Big River Nursing & Rehabilitation: 7.2 → 17.9 TCR

Peak year 2022 @ 17.9 TCR · DART/TCR 0.57× in 2022

Big River Nursing & Rehabilitation's TCR rose 10.7 from 7.2 in 2018 to 17.9 in 2022. In 2022, DART was 0.57× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Cedar Hill, MO ABOVE-IND · MID

Grade D · TCR 12.6 · 194% of ind

  • DART 7.2 DART
  • RANK #389/457
  • PHOTO Helia Healthcare of …
  • BOOK 2y book
  • INJ 17 inj
  • SIZE ~116 FTE

Nearest TCR peer: Helia Healthcare of Olney (0.0 TCR gap)

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

Big River Nursing & Rehabilitation in the TCR neighbourhood

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

TCR

What this shows Big River Nursing & Rehabilitation averages 12.6 TCR (194% of the Skilled nursing facilities BLS benchmark).

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

Big River Nursing & Rehabilitation TCR series: 2018=7.2 · 2022=17.9 · BLS 6.5

Where Big River Nursing & Rehabilitation falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 17% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Missouri alone (the establishments it most directly competes with for workers and contracts): ranked #389 safest of 457 Skilled nursing facilities employers in Missouri.

Big River Nursing & Rehabilitation (116 employees, TCR 12.6) 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 Big River Nursing & Rehabilitation
Big River Nursing & Rehabilitation (116 employees, TCR 12.6) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Big River Nursing & Rehabilitation has more 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
2022 17.9 7.2 10 0 0
2018 7.2 3.1 7 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · MO · Cedar Hill

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 10,075 rated employers in Missouri with headcount on file · 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 Helia Healthcare of Olney 12.6 TCR
NAICS-TCR Hunter Creek Health and Rehabilitation, LLC 12.6 TCR
NAICS-TCR 1855-AHSCM09 12.6 TCR
NAICS-TCR Alameda Nursing Home 12.6 TCR
STATE-SIZE Vazquez Commercial Contracting LLC 116 FTE
STATE-SIZE Fred M. Luth & Sons, Inc. 116 FTE
STATE-SIZE Main Office 116 FTE
STATE-SIZE EPS NASS Parent Inc. 116 FTE
CITY-NEAR RADEACKAR AG MARKET INC 28 FTE
NAT-TCR HG266 12.6 TCR
NAT-TCR 1855-AHSCM09 12.6 TCR
NAT-TCR 416563-Phi-Fairmount Sta 12.6 TCR
NAT-TCR 235346-Linthicum Heights Po 12.6 TCR
NAT-SIZE Crosstown Electrical & Data, Inc. 116 FTE
NAT-SIZE PSSI - 0079 Cargill Incorporated- Friona 116 FTE
NAT-SIZE PSSI - 0104 Smithfield Fresh Meats Corp. - Crete 116 FTE
NAT-SIZE Waibel Energy Systems, Inc. 116 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, 2018. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.