Skilled nursing facilities · Texas

River Valley Health Care, LLC

Gainesville, TX · ~54 workers · 3 years of OSHA Injury Tracking Application data.

B
Good Safety Record
4.2
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

River Valley Health Care, LLC runs at 65% of its industry's injury rate - safer than the typical Skilled nursing facilities workplace, earning a grade B.

River Valley Health Care, LLC: 4.2 TCR = 65% of Skilled nursing facilities BLS 6.5 · 3y Form 300A (see methodology below)

River Valley Health Care, LLC safety composite

River Valley Health Care, LLC scores strongest on total case rate (tcr) (safer than 73% of same-industry peers) and weakest on dart rate (safer than 38%), 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).

C

55/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
C 4.24 per 100 workers

Safer than 73% of industry peers

DART rate
D 4.78 per 100 workers

Safer than 38% 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

River Valley Health Care, LLC: 4.3 → 4.8 TCR

Peak year 2018 @ 4.8 TCR · DART/TCR 1.13× in 2018

River Valley Health Care, LLC's TCR rose 0.5 from 4.3 in 2016 to 4.8 in 2018. In 2018, DART was 1.13× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Gainesville, TX AT/BELOW-IND · SMALL

Grade B · TCR 4.2 · 65% of ind

  • DART 4.8 DART
  • RANK #510/1034
  • PHOTO Royal Oaks Nursing a…
  • BOOK 3y book
  • INJ 7 inj
  • SIZE ~54 FTE

Nearest TCR peer: Royal Oaks Nursing and Rehab Center (0.0 TCR gap)

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

River Valley Health Care, LLC in the TCR neighbourhood

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

TCR

What this shows River Valley Health Care, LLC averages 4.2 TCR (65% of the Skilled nursing facilities BLS benchmark).

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

River Valley Health Care, LLC TCR series: 2016=4.3 · 2017=3.6 · 2018=4.8 · BLS 6.5

Where River Valley Health Care, LLC falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 73% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Texas alone (the establishments it most directly competes with for workers and contracts): ranked #510 safest of 1034 Skilled nursing facilities employers in Texas.

River Valley Health Care, LLC (54 employees, TCR 4.2) 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 Valley Health Care, LLC
River Valley Health Care, LLC (54 employees, TCR 4.2) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

River Valley Health Care, LLC has fewer employees than the Skilled nursing facilities median and a lower 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 4.8 4.8 2 0 0
2017 3.6 3.6 3 0 0
2016 4.3 0.0 2 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · TX · Gainesville

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 38,394 rated employers in Texas with headcount on file · 49 employers in Gainesville, TX · 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 Royal Oaks Nursing and Rehab Center 4.2 TCR
NAICS-TCR Hildebrand Care Center 4.2 TCR
NAICS-TCR Rehab Center of Bakersfield 4.2 TCR
NAICS-TCR Westmoreland at CareCore 4.2 TCR
STATE-SIZE Randall County Feedyard 54 FTE
STATE-SIZE 1681 CORPORATE DR MCKINNEY TX 54 FTE
STATE-SIZE 3525 N HWY 77 WAXAHACHIE TX 54 FTE
STATE-SIZE Clearwater Resources LLC 54 FTE
CITY-NEAR Select Water Solutions, LLC 3,576 FTE
CITY-NEAR Select Energy Services, LLC 3,037 FTE
CITY-NEAR Manufacture of Seats 1,621 FTE
CITY-NEAR Safran Seats USA 1,002 FTE
NAT-TCR Tuscany Village Nursing Center 4.2 TCR
NAT-TCR Aiken Center (Scaik) 4.2 TCR
NAT-TCR Schluter Systems Plattsburgh 4.2 TCR
NAT-TCR Seven Bridges 4.2 TCR
NAT-SIZE East Coast Construction Services, LLC. 54 FTE
NAT-SIZE Newark Group - Caraustar York 54 FTE
NAT-SIZE Kastle Electric Co., LLC 54 FTE
NAT-SIZE Atrium Post Acute Care of Appleton 54 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.
Data sourced from official public datasets. See our methodology for details.