Skilled nursing facilities · Iowa

Keystone Nursing Care Center Inc

Keystone, IA · ~104 workers · 4 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
13.8
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Keystone Nursing Care Center Inc runs at 212% of its industry's injury rate - far more dangerous than the typical Skilled nursing facilities workplace, earning a grade F.

Keystone Nursing Care Center Inc: 13.8 TCR = 212% of Skilled nursing facilities BLS 6.5 · 4y Form 300A (see methodology below)

Keystone Nursing Care Center Inc safety composite

Keystone Nursing Care Center Inc scores strongest on dart rate (safer than 92% of same-industry peers) and weakest on total case rate (tcr) (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).

D

51/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 13.77 per 100 workers

Safer than 14% of industry peers

DART rate
A 0 per 100 workers

Safer than 92% 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

−3.9

2016→2023

Keystone Nursing Care Center Inc injury rate improved

Keystone Nursing Care Center Inc's TCR fell 3.9 from 3.9 in 2016 to 0.0 in 2023. Peak filing year was 2020 at 47.4 TCR. In 2023, DART was 0× this establishment's average TCR (severity share of cases).

2016=3.9 · 2017=3.8 · 2020=47.4 · 2023=0.0

OSHA ITA Form 300A scorecard

Establishment book 623110 · Keystone, IA ABOVE-IND · MID

Grade F · TCR 13.8 · 212% of ind

  • DART 0.0 DART
  • RANK #337/396
  • PHOTO Willows Post Acute
  • BOOK 4y book
  • INJ 4 inj
  • SIZE ~104 FTE

Nearest TCR peer: Willows Post Acute (0.0 TCR gap)

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

Keystone Nursing Care Center Inc in the TCR neighbourhood

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

TCR

What this shows Keystone Nursing Care Center Inc averages 13.8 TCR (212% of the Skilled nursing facilities BLS benchmark).

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

Keystone Nursing Care Center Inc TCR series: 2016=3.9 · 2017=3.8 · 2020=47.4 · 2023=0 · BLS 6.5

Where Keystone Nursing Care Center Inc falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 14% 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 #337 safest of 396 Skilled nursing facilities employers in Iowa.

Keystone Nursing Care Center Inc (104 employees, TCR 13.8) 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 Keystone Nursing Care Center Inc
Keystone Nursing Care Center Inc (104 employees, TCR 13.8) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Keystone Nursing Care Center Inc 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
2023 0.0 0.0 0 0 0
2020 47.4 47.4 2 34 0
2017 3.8 1.9 0 2 0
2016 3.9 1.9 2 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Keystone

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,192 rated employers in Iowa 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 Willows Post Acute 13.8 TCR
NAICS-TCR Heritage Manor - Streator #107 13.8 TCR
NAICS-TCR Mission Point of Superior Woods 13.8 TCR
NAICS-TCR OAKWOOD CENTER FOR LIVING 13.8 TCR
STATE-SIZE Iowa 104 FTE
STATE-SIZE BHE - Council Bluff College Rd (IA001) 104 FTE
STATE-SIZE Associated Milk Producers Inc (Sanborn) 104 FTE
STATE-SIZE Thombert 104 FTE
NAT-TCR Progressive Metal Forming, Inc. 13.8 TCR
NAT-TCR Kerstiens Homes & Designs, Inc 13.8 TCR
NAT-TCR Store 0373 13.8 TCR
NAT-TCR US Foods Portland 13.8 TCR
NAT-SIZE Charles J. Merlo Inc. 104 FTE
NAT-SIZE S&S Automotive Inc 104 FTE
NAT-SIZE Newaygo Medical Care Facility 104 FTE
NAT-SIZE Valassis, Inc. 104 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: 2023, 2020, 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.