Skilled nursing facilities · Iowa

Twilight Acres

Wall Lake, IA · ~56 workers · 4 years of OSHA Injury Tracking Application data.

A
Excellent Safety Record
2.4
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Twilight Acres runs at 38% of its industry's injury rate - far safer than the typical Skilled nursing facilities workplace, earning a grade A.

Twilight Acres: 2.4 TCR = 38% of Skilled nursing facilities BLS 6.5 · 4y Form 300A (see methodology below)

Twilight Acres safety composite

Twilight Acres scores strongest on total case rate (tcr) (safer than 88% of same-industry peers) and weakest on fatalities (safer than 51%), 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

67/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
B 2.44 per 100 workers

Safer than 88% of industry peers

DART rate
D 3.17 per 100 workers

Safer than 53% 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

−3.4

2016→2024

Twilight Acres injury rate improved

Twilight Acres's TCR fell 3.4 from 6.6 in 2016 to 3.2 in 2024. Peak filing year was 2016 at 6.6 TCR. In 2024, DART was 1.3× this establishment's average TCR (severity share of cases).

2016=6.6 · 2022=0.0 · 2023=0.0 · 2024=3.2

OSHA ITA Form 300A scorecard

Establishment book 623110 · Wall Lake, IA AT/BELOW-IND · SMALL

Grade A · TCR 2.4 · 38% of ind

  • DART 3.2 DART
  • RANK #28/396
  • PHOTO Pruitt Health Barnwell
  • BOOK 4y book
  • INJ 4 inj
  • SIZE ~56 FTE

Nearest TCR peer: Pruitt Health Barnwell (0.0 TCR gap)

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

Twilight Acres in the TCR neighbourhood

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

TCR

What this shows Twilight Acres averages 2.4 TCR (38% of the Skilled nursing facilities BLS benchmark).

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

Twilight Acres TCR series: 2016=6.6 · 2022=0 · 2023=0 · 2024=3.2 · BLS 6.5

Where Twilight Acres falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 88% 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 #28 safest of 396 Skilled nursing facilities employers in Iowa.

Twilight Acres (56 employees, TCR 2.4) 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 Twilight Acres
Twilight Acres (56 employees, TCR 2.4) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Twilight Acres 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
2024 3.2 3.2 1 0 0
2023 0.0 0.0 0 0 0
2022 0.0 0.0 0 0 0
2016 6.6 2.2 3 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · IA · Wall Lake

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 7,192 rated employers in Iowa with headcount on file · 3 employers in Wall Lake, 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 Pruitt Health Barnwell 2.4 TCR
NAICS-TCR Nye Legacy 2.4 TCR
NAICS-TCR LAKELAND HILLS CENTER 2.4 TCR
NAICS-TCR Cedarcrest Care Center 2.4 TCR
STATE-SIZE Fort Dodge Area Office 56 FTE
STATE-SIZE Rinderknecht Associates, Inc. 56 FTE
STATE-SIZE River Cities Engineering 56 FTE
STATE-SIZE Kent Nutrtion Group- Sheldon 56 FTE
CITY-NEAR Wall Lake (Wholesale) IA 34 FTE
CITY-NEAR WIE Wall Lake 31 FTE
NAT-TCR Temple Pouring Plant 2.4 TCR
NAT-TCR Millennium Technologies Plymouth 2.4 TCR
NAT-TCR Nucor Harris Rebar Northeast LLC (Canaan Facility) 2.4 TCR
NAT-TCR Palco Connector 2.4 TCR
NAT-SIZE 500 Osage 56 FTE
NAT-SIZE SH - Building M 56 FTE
NAT-SIZE Packing House 56 FTE
NAT-SIZE Air Base Blvd Warehouse 56 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, 2023, 2022, 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.