Skilled nursing facilities · Iowa

Manor Care Health Services - Waterloo

Waterloo, IA · ~110 workers · 2 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
9.3
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Manor Care Health Services - Waterloo runs at 143% of its industry's injury rate - more dangerous than the typical Skilled nursing facilities workplace, earning a grade D.

Manor Care Health Services - Waterloo: 9.3 TCR = 143% of Skilled nursing facilities BLS 6.5 · 2y Form 300A (see methodology below)

Manor Care Health Services - Waterloo safety composite

Manor Care Health Services - Waterloo scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 17%), 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

31/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 9.29 per 100 workers

Safer than 31% of industry peers

DART rate
F 9.25 per 100 workers

Safer than 17% 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

Manor Care Health Services - Waterloo: 8.0 → 10.6 TCR

Peak year 2018 @ 10.6 TCR · DART/TCR 1× in 2018

Manor Care Health Services - Waterloo's TCR rose 2.6 from 8.0 in 2017 to 10.6 in 2018. In 2018, DART was 1× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

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

Grade D · TCR 9.3 · 143% of ind

  • DART 9.3 DART
  • RANK #270/396
  • PHOTO Twin Lakes Rehabilit…
  • BOOK 2y book
  • INJ 14 inj
  • SIZE ~110 FTE

Nearest TCR peer: Twin Lakes Rehabilitation and Healthcare Center (0.0 TCR gap)

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

Manor Care Health Services - Waterloo in the TCR neighbourhood

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

TCR

What this shows Manor Care Health Services - Waterloo averages 9.3 TCR (143% of the Skilled nursing facilities BLS benchmark).

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

Manor Care Health Services - Waterloo TCR series: 2017=8 · 2018=10.6 · BLS 6.5

Where Manor Care Health Services - Waterloo falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 31% 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 #270 safest of 396 Skilled nursing facilities employers in Iowa.

Manor Care Health Services - Waterloo (110 employees, TCR 9.3) 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 Manor Care Health Services - Waterloo
Manor Care Health Services - Waterloo (110 employees, TCR 9.3) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Manor Care Health Services - Waterloo has more 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
2018 10.6 9.3 8 0 0
2017 8.0 5.3 6 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Waterloo

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 172 employers in Waterloo, 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 Twin Lakes Rehabilitation and Healthcare Center 9.3 TCR
NAICS-TCR Orange Healthcare & Wellness Centre 9.3 TCR
NAICS-TCR Washington Village Estates 9.3 TCR
NAICS-TCR Windsor Chico Creek Care and Rehabilitation Center 9.3 TCR
STATE-SIZE Sioux City Neal South 110 FTE
STATE-SIZE Winnebago County 110 FTE
STATE-SIZE MARSHALLTOWN, IA 110 FTE
STATE-SIZE HARSCO METALS 110 FTE
CITY-NEAR Black Hawk County Extension 4,790 FTE
CITY-NEAR Waterloo Pork Plant 2,801 FTE
CITY-NEAR UnityPoint 2,295 FTE
CITY-NEAR JD Waterloo Tractor and Cab Assembly Operations 1,605 FTE
NAT-TCR Yuma County General Services 9.3 TCR
NAT-TCR The Ritz Carlton Bal Harbour 9.3 TCR
NAT-TCR Wingate at West Springfield 9.3 TCR
NAT-TCR South Boston (Masbo) 9.3 TCR
NAT-SIZE B-X Avon LLC 110 FTE
NAT-SIZE QSI Vienna 110 FTE
NAT-SIZE Riverdale Center 110 FTE
NAT-SIZE SSA Cooper Wilmington 110 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: 2018, 2017. 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.