Skilled nursing facilities · Kentucky

Madison Health and Rehabilitation Center

Richmond, KY · ~60 workers · 3 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
21.0
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Madison Health and Rehabilitation Center runs at 323% of its industry's injury rate - far more dangerous than the typical Skilled nursing facilities workplace, earning a grade F.

Madison Health and Rehabilitation Center: 21.0 TCR = 323% of Skilled nursing facilities BLS 6.5 · 3y Form 300A (see methodology below)

Madison Health and Rehabilitation Center safety composite

Madison Health and Rehabilitation Center scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on total case rate (tcr) (safer than 4%), 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

19/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 21 per 100 workers

Safer than 4% of industry peers

DART rate
F 13.17 per 100 workers

Safer than 12% 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

Madison Health and Rehabilitation Center: 19.4 → 55.5 TCR

Peak year 2022 @ 55.5 TCR · DART/TCR 1.76× in 2022

Madison Health and Rehabilitation Center's TCR rose 36.1 from 19.4 in 2019 to 55.5 in 2022. In 2022, DART was 1.76× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Richmond, KY ABOVE-IND · SMALL

Grade F · TCR 21.0 · 323% of ind

  • DART 37.0 DART
  • RANK #327/340
  • PHOTO Altercare of Wadsworth
  • BOOK 3y book
  • INJ 10 inj
  • SIZE ~60 FTE

Nearest TCR peer: Altercare of Wadsworth (0.0 TCR gap)

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

Madison Health and Rehabilitation Center in the TCR neighbourhood

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

TCR

What this shows Madison Health and Rehabilitation Center averages 21.0 TCR (323% of the Skilled nursing facilities BLS benchmark).

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

Madison Health and Rehabilitation Center TCR series: 2019=19.4 · 2021=22.6 · 2022=55.5 · BLS 6.5

Where Madison Health and Rehabilitation Center falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 4% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Kentucky alone (the establishments it most directly competes with for workers and contracts): ranked #327 safest of 340 Skilled nursing facilities employers in Kentucky.

Madison Health and Rehabilitation Center (60 employees, TCR 21.0) 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 0510152025 Average employees Total Case Rate Madison Health and Rehabilitation Center
Madison Health and Rehabilitation Center (60 employees, TCR 21.0) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Madison Health and Rehabilitation 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
2022 55.5 37.0 0 24 0
2021 22.6 13.2 2 10 0
2019 19.4 13.6 8 2 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · KY · Richmond

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,805 rated employers in Kentucky with headcount on file · 100 employers in Richmond, KY · 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 Altercare of Wadsworth 21.0 TCR
NAICS-TCR Countryside Rehabilitation and Healthcare Center 21.0 TCR
NAICS-TCR Wilson Care and Rehabilitation Center 21.0 TCR
NAICS-TCR Glendale Adventist Transitional Care Center DP-SNF 21.0 TCR
STATE-SIZE Workman Farms INC 60 FTE
STATE-SIZE OFP 60 FTE
STATE-SIZE Cooper Generating Station 60 FTE
STATE-SIZE Hopkinsville Electric System 60 FTE
CITY-NEAR Blue Grass Chem. Demil. 947 FTE
CITY-NEAR Baptist Health Richmond 641 FTE
CITY-NEAR Baptist Heath Richmond 604 FTE
CITY-NEAR Chem Demil US KY Richmond KY KY997 539 FTE
NAT-TCR Cavalier County Memorial Hospital 21.0 TCR
NAT-TCR 500 Long Beach Boulevard, Stratford, CT 21.0 TCR
NAT-TCR SALMXXIII Logistics LLC 21.0 TCR
NAT-TCR Stericycle - Keasbey,NJ 21.0 TCR
NAT-SIZE SES Construction and Fuel Services LLC 60 FTE
NAT-SIZE Iga #440 60 FTE
NAT-SIZE Gladieux Metals Recycling 60 FTE
NAT-SIZE North Fulton Operating - 116675 Wills Road 60 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, 2021, 2019. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.