Skilled nursing facilities · Texas

Hearthstone SN Health Center

Round Rock, TX · ~102 workers · 4 years of OSHA Injury Tracking Application data.

C
Average Safety Record
7.5
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Hearthstone SN Health Center runs at 115% of its industry's injury rate - about level with the typical Skilled nursing facilities workplace, earning a grade C.

Hearthstone SN Health Center: 7.5 TCR = 115% of Skilled nursing facilities BLS 6.5 · 4y Form 300A (see methodology below)

Hearthstone SN Health Center safety composite

Hearthstone SN Health Center scores strongest on dart rate (safer than 54% of same-industry peers) and weakest on total case rate (tcr) (safer than 43%), 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

49/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
D 7.47 per 100 workers

Safer than 43% of industry peers

DART rate
D 3.08 per 100 workers

Safer than 54% 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

Hearthstone SN Health Center: 4.1 → 15.4 TCR

Peak year 2019 @ 15.4 TCR · DART/TCR 0.41× in 2019

Hearthstone SN Health Center's TCR rose 11.3 from 4.1 in 2016 to 15.4 in 2019. In 2019, DART was 0.41× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Round Rock, TX ABOVE-IND · MID

Grade C · TCR 7.5 · 115% of ind

  • DART 3.1 DART
  • RANK #842/1034
  • PHOTO Alfredo Gonzalez Tex…
  • BOOK 4y book
  • INJ 17 inj
  • SIZE ~102 FTE

Nearest TCR peer: Alfredo Gonzalez Texas State Veterans Home (0.0 TCR gap)

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Hearthstone SN Health Center in the TCR neighbourhood

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

TCR

What this shows Hearthstone SN Health Center averages 7.5 TCR (115% of the Skilled nursing facilities BLS benchmark).

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

Hearthstone SN Health Center TCR series: 2016=4.1 · 2017=5.9 · 2018=4.4 · 2019=15.4 · BLS 6.5

Where Hearthstone SN Health Center falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 43% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Texas alone (the establishments it most directly competes with for workers and contracts): ranked #842 safest of 1034 Skilled nursing facilities employers in Texas.

Hearthstone SN Health Center (102 employees, TCR 7.5) 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 Hearthstone SN Health Center
Hearthstone SN Health Center (102 employees, TCR 7.5) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Hearthstone SN Health Center has fewer 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
2019 15.4 3.1 8 2 0
2018 4.4 4.4 3 0 0
2017 5.9 4.5 3 1 0
2016 4.1 2.8 3 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · TX · Round Rock

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 38,394 rated employers in Texas with headcount on file · 203 employers in Round Rock, TX · 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 Alfredo Gonzalez Texas State Veterans Home 7.5 TCR
NAICS-TCR The Shores Post Acute 7.5 TCR
NAICS-TCR Boise West of Cascadia LLC 7.5 TCR
NAICS-TCR Essex Meadows 7.5 TCR
STATE-SIZE Tier 1 Completions Solutions 102 FTE
STATE-SIZE Midland Yard 102 FTE
STATE-SIZE Denver City 102 FTE
STATE-SIZE CenterPoint Energy - Baytown Service Center 102 FTE
CITY-NEAR US TX Round Rock Office 01 5,052 FTE
CITY-NEAR Round Rock 2 1,953 FTE
CITY-NEAR US TX Round Rock Office 07 1,735 FTE
CITY-NEAR Baylor Scott & White Medical Center - Round Rock 1,576 FTE
NAT-TCR Des Moines, Ia/Se Iowa District 7.5 TCR
NAT-TCR 5472-Swy 0035 0942 7.5 TCR
NAT-TCR Derry Office 7.5 TCR
NAT-TCR Tops 32 7.5 TCR
NAT-SIZE Polinksy Medica Rehab Center 102 FTE
NAT-SIZE 301 - Shawnee-KS 102 FTE
NAT-SIZE 173 - Augusta 102 FTE
NAT-SIZE 170 - Georgetown-KY 102 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.
Data sourced from official public datasets. See our methodology for details.