Nursing homes · Iowa

Elm Heights

Shenandoah, IA · ~52 workers · 4 years of OSHA Injury Tracking Application data.

C
Average Safety Record
7.8
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Elm Heights runs at 120% of its industry's injury rate - about level with the typical Nursing homes workplace, earning a grade C.

Elm Heights: 7.8 TCR = 120% of Nursing homes BLS 6.5 · 4y Form 300A (see methodology below)

Elm Heights safety composite

Elm Heights scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 20%), 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

36/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
D 7.78 per 100 workers

Safer than 41% of industry peers

DART rate
F 8.26 per 100 workers

Safer than 20% 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%).

TCR Δ

−7308.8

2016→2019

Elm Heights injury rate improved

Elm Heights's TCR fell 7308.8 from 7317.1 in 2016 to 8.3 in 2019. Peak filing year was 2016 at 7317.1 TCR. In 2019, DART was 1.06× this establishment's average TCR (severity share of cases).

2016=7317.1 · 2017=12.4 · 2018=2.7 · 2019=8.3

OSHA ITA Form 300A scorecard

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

Grade C · TCR 7.8 · 120% of ind

  • DART 8.3 DART
  • RANK #229/396
  • PHOTO Hearthstone Health C…
  • BOOK 4y book
  • INJ 10 inj
  • SIZE ~52 FTE

Nearest TCR peer: Hearthstone Health Campus (0.0 TCR gap)

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

Elm Heights in the TCR neighbourhood

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

TCR

What this shows Elm Heights averages 7.8 TCR (120% of the Nursing homes BLS benchmark).

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

Elm Heights TCR series: 2016=7317.1 · 2017=12.4 · 2018=2.7 · 2019=8.3 · BLS 6.5

Where Elm Heights falls in its industry

15,252 Nursing homes establishments

Safer than 41% 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 #229 safest of 396 Nursing homes employers in Iowa.

Elm Heights (52 employees, TCR 7.8) 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 Elm Heights
Elm Heights (52 employees, TCR 7.8) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Elm Heights 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
2019 8.3 8.3 2 1 0
2018 2.7 0.0 1 0 0
2017 12.4 5.0 4 1 0
2016 7317.1 4878.1 3 0 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 Hearthstone Health Campus 7.8 TCR
NAICS-TCR Brighton Post Acute 7.8 TCR
NAICS-TCR 754 SPRINGBROOK CENTER - ME 7.8 TCR
NAICS-TCR QLS Chicora 7.8 TCR
STATE-SIZE KE Flatwork Inc. 52 FTE
STATE-SIZE WNADGL, LLC 52 FTE
STATE-SIZE Earth Services & Abatement 52 FTE
STATE-SIZE Snappy Popcorn 52 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 MW2 7.8 TCR
NAT-TCR Keystone Plant 4 7.8 TCR
NAT-TCR Hospice of Alamance Caswell 7.8 TCR
NAT-TCR 4054-Abs 0018 0574 7.8 TCR
NAT-SIZE Rose Senior Living - Avon, Ohio 52 FTE
NAT-SIZE Noble 52 FTE
NAT-SIZE Bertucci Contracting Company 52 FTE
NAT-SIZE El Dorado 52 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, 2018, 2017, 2016. 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.