Skilled nursing facilities · Iowa

Hillcrest Health Care Services

Hawarden, IA · ~68 workers · 3 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
10.9
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Hillcrest Health Care Services runs at 167% of its industry's injury rate - more dangerous than the typical Skilled nursing facilities workplace, earning a grade D.

Hillcrest Health Care Services: 10.9 TCR = 167% of Skilled nursing facilities BLS 6.5 · 3y Form 300A (see methodology below)

Hillcrest Health Care Services safety composite

Hillcrest Health Care Services scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 10%), 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

26/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 10.87 per 100 workers

Safer than 24% of industry peers

DART rate
F 15.11 per 100 workers

Safer than 10% 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

Hillcrest Health Care Services: 6.3 → 15.1 TCR

Peak year 2024 @ 15.1 TCR · DART/TCR 1.39× in 2024

Hillcrest Health Care Services's TCR rose 8.8 from 6.3 in 2018 to 15.1 in 2024. In 2024, DART was 1.39× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

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

Grade D · TCR 10.9 · 167% of ind

  • DART 15.1 DART
  • RANK #299/396
  • PHOTO Fort Walton Rehabili…
  • BOOK 3y book
  • INJ 15 inj
  • SIZE ~68 FTE

Nearest TCR peer: Fort Walton Rehabilitation Center (0.0 TCR gap)

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Hillcrest Health Care Services in the TCR neighbourhood

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

TCR

What this shows Hillcrest Health Care Services averages 10.9 TCR (167% of the Skilled nursing facilities BLS benchmark).

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

Hillcrest Health Care Services TCR series: 2018=6.3 · 2019=11.3 · 2024=15.1 · BLS 6.5

Where Hillcrest Health Care Services falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 24% 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 #299 safest of 396 Skilled nursing facilities employers in Iowa.

Hillcrest Health Care Services (68 employees, TCR 10.9) 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 Hillcrest Health Care Services
Hillcrest Health Care Services (68 employees, TCR 10.9) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Hillcrest Health Care Services 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
2024 15.1 15.1 6 0 0
2019 11.3 5.6 6 0 0
2018 6.3 4.2 3 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Hawarden

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 5 employers in Hawarden, 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 Fort Walton Rehabilitation Center 10.9 TCR
NAICS-TCR Green Ridge Care Center 10.9 TCR
NAICS-TCR 63221 SUNRISE OF CRYSTAL LAKE 10.9 TCR
NAICS-TCR Titusville Healthcare and Rehabilitation Center 10.9 TCR
STATE-SIZE Kirkman Farms, LLP 68 FTE
STATE-SIZE Rathbun Regional Water Association 68 FTE
STATE-SIZE Lakeside Contractors LLC 68 FTE
STATE-SIZE Midwestern Mechanical - IA 68 FTE
CITY-NEAR Hawarden Regional Healthcare 133 FTE
CITY-NEAR Coilcraft - Hawarden 133 FTE
CITY-NEAR Hillcrest Health Care Services and Mica Hill Estates 73 FTE
CITY-NEAR CFE Hawarden 27 FTE
NAT-TCR Buena Park Ca 10.9 TCR
NAT-TCR The Bellevue Manufacturing Co. 10.9 TCR
NAT-TCR Titusville Healthcare and Rehabilitation Center 10.9 TCR
NAT-TCR Brookdale Nine Mile 10.9 TCR
NAT-SIZE Camp Friendship 68 FTE
NAT-SIZE D38 Raleigh 68 FTE
NAT-SIZE 280 - La Cityride Ca 68 FTE
NAT-SIZE 239 - Putnam County Ny 68 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, 2019, 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.