Nursing homes · Iowa

River Hills Village

Keokuk, IA · ~126 workers · 4 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
15.3
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

River Hills Village runs at 235% of its industry's injury rate - far more dangerous than the typical Nursing homes workplace, earning a grade F.

River Hills Village: 15.3 TCR = 235% of Nursing homes BLS 6.5 · 4y Form 300A (see methodology below)

River Hills Village safety composite

River Hills Village scores strongest on dart rate (safer than 77% of same-industry peers) and weakest on total case rate (tcr) (safer than 11%), 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

44/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 15.26 per 100 workers

Safer than 11% of industry peers

DART rate
B 1.16 per 100 workers

Safer than 77% 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

−37.0

2016→2024

River Hills Village injury rate improved

River Hills Village's TCR fell 37.0 from 41.6 in 2016 to 4.6 in 2024. Peak filing year was 2016 at 41.6 TCR. In 2024, DART was 0.08× this establishment's average TCR (severity share of cases).

2016=41.6 · 2019=11.6 · 2022=3.2 · 2024=4.6

OSHA ITA Form 300A scorecard

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

Grade F · TCR 15.3 · 235% of ind

  • DART 1.2 DART
  • RANK #354/396
  • PHOTO Helia Healthcare of …
  • BOOK 4y book
  • INJ 52 inj
  • SIZE ~126 FTE

Nearest TCR peer: Helia Healthcare of Benton (0.0 TCR gap)

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

River Hills Village in the TCR neighbourhood

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

TCR

What this shows River Hills Village averages 15.3 TCR (235% of the Nursing homes BLS benchmark).

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

River Hills Village TCR series: 2016=41.6 · 2019=11.6 · 2022=3.2 · 2024=4.6 · BLS 6.5

Where River Hills Village falls in its industry

15,252 Nursing homes establishments

Safer than 11% 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 #354 safest of 396 Nursing homes employers in Iowa.

River Hills Village (126 employees, TCR 15.3) 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 River Hills Village
River Hills Village (126 employees, TCR 15.3) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

River Hills Village has more employees than the Nursing homes 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 4.6 1.2 4 0 0
2022 3.2 3.2 8 17 0
2019 11.6 8.1 9 1 0
2016 41.6 24.1 31 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Keokuk

15,252 Nursing homes employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 35 employers in Keokuk, 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 Helia Healthcare of Benton 15.3 TCR
NAICS-TCR Brandywine Care Center 15.3 TCR
NAICS-TCR St Elizabeth Healthcare 15.3 TCR
NAICS-TCR NHC Healthcare Milan 15.3 TCR
STATE-SIZE Northwest Iowa Pork 126 FTE
STATE-SIZE Wafer 126 FTE
STATE-SIZE A to Z Drying, Inc. 126 FTE
STATE-SIZE NRV 126 FTE
CITY-NEAR Roquette America - Keokuk 405 FTE
CITY-NEAR WM 1431 265 FTE
CITY-NEAR 1431 263 FTE
CITY-NEAR Amested Rail - Griffin Wheel Keokuk 200 FTE
NAT-TCR Ayres Painting Company 15.3 TCR
NAT-TCR Thomas Cuisine @ BIO FIRE 2 15.3 TCR
NAT-TCR Helia Healthcare of Benton 15.3 TCR
NAT-TCR Meenan PA - Tullytown 15.3 TCR
NAT-SIZE AdventHealth Wauchula 126 FTE
NAT-SIZE The Legacy 126 FTE
NAT-SIZE Edgerton Contractors, Inc 126 FTE
NAT-SIZE DeKalb 126 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, 2022, 2019, 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.