Nursing homes · Iowa

Salem Lutheran Homes and Rehabilitation

Elk Horn, IA · ~71 workers · 4 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
16.4
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Salem Lutheran Homes and Rehabilitation runs at 253% of its industry's injury rate - far more dangerous than the typical Nursing homes workplace, earning a grade F.

Salem Lutheran Homes and Rehabilitation: 16.4 TCR = 253% of Nursing homes BLS 6.5 · 4y Form 300A (see methodology below)

Salem Lutheran Homes and Rehabilitation safety composite

Salem Lutheran Homes and Rehabilitation scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on dart rate (safer than 1%), 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

17/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 16.43 per 100 workers

Safer than 9% of industry peers

DART rate
F 37.19 per 100 workers

Safer than 1% 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

Salem Lutheran Homes and Rehabilitation: 4.2 → 42.8 TCR

Peak year 2020 @ 42.8 TCR · DART/TCR 2.26× in 2020

Salem Lutheran Homes and Rehabilitation's TCR rose 38.6 from 4.2 in 2017 to 42.8 in 2020. In 2020, DART was 2.26× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Elk Horn, IA ABOVE-IND · SMALL

Grade F · TCR 16.4 · 253% of ind

  • DART 37.2 DART
  • RANK #359/396
  • PHOTO RTNC, Inc. dba Recto…
  • BOOK 4y book
  • INJ 20 inj
  • SIZE ~71 FTE

Nearest TCR peer: RTNC, Inc. dba Rector Nursing and Rehab (0.0 TCR gap)

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

Salem Lutheran Homes and Rehabilitation in the TCR neighbourhood

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

TCR

What this shows Salem Lutheran Homes and Rehabilitation averages 16.4 TCR (253% of the Nursing homes BLS benchmark).

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

Salem Lutheran Homes and Rehabilitation TCR series: 2017=4.2 · 2018=9.9 · 2019=8.8 · 2020=42.8 · BLS 6.5

Where Salem Lutheran Homes and Rehabilitation falls in its industry

15,252 Nursing homes establishments

Safer than 9% 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 #359 safest of 396 Nursing homes employers in Iowa.

Salem Lutheran Homes and Rehabilitation (71 employees, TCR 16.4) 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 Salem Lutheran Homes and Rehabilitation
Salem Lutheran Homes and Rehabilitation (71 employees, TCR 16.4) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Salem Lutheran Homes and Rehabilitation has fewer 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
2020 42.8 37.2 7 16 0
2019 8.8 5.3 4 1 0
2018 9.9 3.3 6 0 0
2017 4.2 1.4 3 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Elk Horn

15,252 Nursing homes employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 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 RTNC, Inc. dba Rector Nursing and Rehab 16.4 TCR
NAICS-TCR LP Graceville, LLC--North Florida 16.4 TCR
NAICS-TCR Bangor Nursing & Rehabilitation Ctr 16.4 TCR
NAICS-TCR Bridgepoint Center 16.4 TCR
STATE-SIZE Maquoketa Valley Electric Cooperative 71 FTE
STATE-SIZE Peters Construction Corporation 71 FTE
STATE-SIZE T & K Roofing & Sheet Metal Company Inc. 71 FTE
STATE-SIZE Interstate Mechanical Corp 71 FTE
NAT-TCR Applewood 16.4 TCR
NAT-TCR Hyatt Regency LAX 16.4 TCR
NAT-TCR 6458-ZEHR 16.4 TCR
NAT-TCR 256760-Niles Po 16.4 TCR
NAT-SIZE Prent Corporation- Arizona 71 FTE
NAT-SIZE Houston North 71 FTE
NAT-SIZE Hilton Garden Inn Oklahoma City Airport 71 FTE
NAT-SIZE Advanced Pain Management & Spine Specialists 71 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: 2020, 2019, 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.