Skilled Nursing Facility · Missouri

N and R of Fulton Inc

Fulton, MO · ~62 workers · 3 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
13.0
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

N and R of Fulton Inc runs at 200% of its industry's injury rate - far more dangerous than the typical Skilled Nursing Facility workplace, earning a grade F.

N and R of Fulton Inc: 13.0 TCR = 200% of Skilled Nursing Facility BLS 6.5 · 3y Form 300A (see methodology below)

N and R of Fulton Inc safety composite

N and R of Fulton Inc scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on total case rate (tcr) (safer than 16%), 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

34/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 13.02 per 100 workers

Safer than 16% of industry peers

DART rate
D 4.32 per 100 workers

Safer than 42% 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

N and R of Fulton Inc: 14.5 → 17.3 TCR

Peak year 2018 @ 17.3 TCR · DART/TCR 0.33× in 2018

N and R of Fulton Inc's TCR rose 2.8 from 14.5 in 2016 to 17.3 in 2018. In 2018, DART was 0.33× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Fulton, MO ABOVE-IND · SMALL

Grade F · TCR 13.0 · 200% of ind

  • DART 4.3 DART
  • RANK #395/457
  • PHOTO Clinton Nursing Cent…
  • BOOK 3y book
  • INJ 20 inj
  • SIZE ~62 FTE

Nearest TCR peer: Clinton Nursing Center dba River Valley Skilled Nursing and Therapy (0.0 TCR gap)

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

N and R of Fulton Inc in the TCR neighbourhood

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

TCR

What this shows N and R of Fulton Inc averages 13.0 TCR (200% of the Skilled Nursing Facility BLS benchmark).

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

N and R of Fulton Inc TCR series: 2016=14.5 · 2017=7.3 · 2018=17.3 · BLS 6.5

Where N and R of Fulton Inc falls in its industry

15,252 Skilled Nursing Facility establishments

Safer than 16% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Missouri alone (the establishments it most directly competes with for workers and contracts): ranked #395 safest of 457 Skilled Nursing Facility employers in Missouri.

N and R of Fulton Inc (62 employees, TCR 13.0) 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 05101520 Average employees Total Case Rate N and R of Fulton Inc
N and R of Fulton Inc (62 employees, TCR 13.0) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

N and R of Fulton Inc has fewer employees than the Skilled Nursing Facility 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 17.3 4.3 8 0 0
2017 7.3 5.4 4 0 0
2016 14.5 12.7 8 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · MO · Fulton

15,252 Skilled Nursing Facility employers nationwide with a credible TCR · 10,075 rated employers in Missouri with headcount on file · 33 employers in Fulton, MO · 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 Clinton Nursing Center dba River Valley Skilled Nursing and Therapy 13.0 TCR
NAICS-TCR Millcreek Nursing & Rehab LLC 13.0 TCR
NAICS-TCR Elm Crest Senior Living 13.0 TCR
NAICS-TCR Heritage Place Healthcare Community 13.0 TCR
STATE-SIZE NEP Missouri HQ 62 FTE
STATE-SIZE Western Division 62 FTE
STATE-SIZE St. Louis Plant 62 FTE
STATE-SIZE MTC Holsters 62 FTE
CITY-NEAR AMEREN MISSOURI - Callaway Plant 744 FTE
CITY-NEAR Fulton DC 664 FTE
CITY-NEAR Westminster College 355 FTE
CITY-NEAR William Woods University 251 FTE
NAT-TCR GGI Glass Distributors Corp dba General Glass International 13.0 TCR
NAT-TCR Liverpool plant 13.0 TCR
NAT-TCR 023/GALLERIA 13.0 TCR
NAT-TCR Brookdale Fort Collins Assisted Living 13.0 TCR
NAT-SIZE Schnell Contractors, Inc - Louisville Kentucky 62 FTE
NAT-SIZE East Valley Adult Resources 62 FTE
NAT-SIZE Marshall Dekalb Electric Copperative 62 FTE
NAT-SIZE The Waterford at Oshkosh 62 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, 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.