OSHA ITA · calendar years 2023→2024

Total Case Rate change rankings

Year-over-year change in OSHA Total Case Rate across 48,908 establishments with ≥200,000 hours and credible TCR (0.1–40) in both 2023 and 2024. Same employer_yearly series each employer page charts.

+34.39
Largest rise · NOMS Healthcare
-38.77
Largest decline · Aperioncare Arbors Michigan city
48,908
Paired establishments (hours+TCR floor)

2023→2024 OSHA TCR change (points)

NOMS Healthcare leads this rising board at +34.39 TCR points (3.54 → 37.93). The #50 cutoff on the rising list is +14.92; Aperioncare Arbors Michigan city sits at the other end at -38.77.

+34.39
#1 rise · NOMS Healthcare
+14.92
#50 cutoff
-38.77
Largest decline · Aperioncare Arbors Michigan city
48,908
paired establishments

TCR is injuries and illnesses per 100 full-time workers from the OSHA ITA extract. Large point moves can reflect reporting changes as well as safety outcomes, read the year-by-year table on each employer page.

Largest TCR increases

Top 12 of 50 on the rising board. Sort key is absolute TCR-point change, 2024 versus 2023.

Largest YoY TCR increases, 2024

1. NOMS Healthcare+34.392. Public Safety+31.053. Baystate Delivery Inc+30.724. Fljac5 Ascension St Vincents4. Fljac5 Ascension St Vince…+28.785. AWG, St. Cloud - Perishable 5. AWG, St. Cloud - Perishab…+28.366. Virginia Hospital Center+28.317. Gallop Delivery LLC+27.228. Circle of Care+26.149. Los Angeles Police Departmen9. Los Angeles Police Depart…+26.0210. Phoenix Children's Hospital10. Phoenix Children's Hospi…+25.7111. David and Margaret Home, Inc11. David and Margaret Home,…+21.1212. Maine Veterans Home - Bangor12. Maine Veterans Home - Ba…+20.83
Source: OSHA Injury Tracking Application via PlainSafetyScore employer_yearly, 2023–2024. Floor: ≥200k hours and TCR 0.1–40 both years.

50 steepest increases

# Employer Δ TCR
1 NOMS Healthcare +34.39 3.54→37.93
2 Public Safety +31.05 3.27→34.32
3 Baystate Delivery Inc +30.72 6.55→37.27
4 Fljac5 Ascension St Vincents Southside Hosp +28.78 3.76→32.54
5 AWG, St. Cloud - Perishable Facility +28.36 8.25→36.61
6 Virginia Hospital Center +28.31 2.87→31.18
7 Gallop Delivery LLC +27.22 0.92→28.14
8 Circle of Care +26.14 2.13→28.27
9 Los Angeles Police Department, Mission Division +26.02 2.87→28.89
10 Phoenix Children's Hospital +25.71 2.41→28.12
11 David and Margaret Home, Inc. +21.12 3.42→24.54
12 Maine Veterans Home - Bangor +20.83 7.00→27.83
13 Three Rivers Treatment Center +20.47 0.99→21.46
14 The Laurels of Heath +20.07 2.83→22.90
15 SYSCO ACADIANA fka DOERLE FOOD SERVICES, A DIVISION OF SYSCO USA II, LLC +19.99 10.42→30.41
16 Morgantown Healthcare Center +19.96 13.80→33.76
17 S&H Delivery LLC +19.94 6.72→26.66
18 Baraga Correctional Facility +19.68 10.58→30.26
19 Aperion Care International +19.63 0.35→19.98
20 Capital Health Medical Center Hopewell +19.48 2.70→22.18
21 Next Steps Community Services +19.46 14.54→34.00
22 Pacific Grove +18.60 7.88→26.48
23 Manassas City Public Schools +18.40 1.45→19.85
24 Pinckneyville Correctional Center +18.35 7.98→26.33
25 Haven Homes +17.62 16.30→33.92
26 Provo Campus +17.47 12.52→29.99
27 KVC Hospital KC +17.45 11.90→29.35
28 IKEA #570 Live Oak +17.38 0.50→17.88
29 NHC Healthcare Sumter +17.18 21.28→38.46
30 Volumetric Building Companies +16.96 0.11→17.07
31 City of Hastings +16.94 2.57→19.51
32 Kennedy Krieger Greenspring-Bowles +16.74 0.72→17.46
33 Puckett EMS +16.70 18.96→35.66
34 Ms Care Center of Raleigh +16.67 3.18→19.85
35 Pendry West Hollywood +16.65 1.30→17.95
36 KVC Missouri St. James +16.48 6.98→23.46
37 Linden Distribution Center +16.46 0.95→17.41
38 Sf Mmf +16.32 2.09→18.41
39 225 Bennett Road Operating Company, LLC +16.25 3.09→19.34
40 Benedictine Living Community - Cold Spring +16.22 4.85→21.07
41 ANC Alaska Airlines Cargo +15.84 4.19→20.03
42 41-3 Pacella Park Drive +15.76 18.80→34.56
43 ASI Hastings +15.76 7.81→23.57
44 Green Ridge Village +15.65 19.68→35.33
45 Alila Marea Beach Resort Encinitas +15.47 2.82→18.29
46 Hazard Regional Medical Center +15.42 7.69→23.11
47 Belvidere +15.18 0.58→15.76
48 Carbon Block Technology +15.08 5.00→20.08
49 US Foods Milwaukee +14.96 0.15→15.11
50 Kennedy Krieger Fairmount +14.92 1.94→16.86

50 steepest declines

# Employer Δ TCR
1 Aperioncare Arbors Michigan city -38.77 39.13→0.36
2 Ventra Ionia -37.56 39.18→1.62
3 Doctors Hospital at Renaissance -37.48 37.79→0.31
4 Unity Center -35.69 39.81→4.12
5 Usps Headquarters_1432894 -30.19 39.45→9.26
6 Smithtown Center for Rehabilitation and Nursing Care -29.10 34.59→5.49
7 Des Moines Medical Center Hospital-MHS-IA/NE -29.09 37.30→8.21
8 Grant Rehabilitation and Care Center -27.95 32.65→4.70
9 Western Home Services -27.90 37.61→9.71
10 Lakeview Manor -27.81 30.18→2.37
11 United Methodist Homes Elizabeth Church Campus -27.66 36.83→9.17
12 Alexandria Mn - 3183 -27.40 34.62→7.22
13 Trader Joe's 0720 Kansas City -27.28 39.23→11.95
14 NWA Nursing Center, LLC dba The Maples at Har-Ber Meadows -26.96 28.81→1.85
15 226_336 -26.67 34.29→7.62
16 Pisgah Valley Retirement Center -26.59 34.00→7.41
17 Corovan Moving & Storage -25.92 33.58→7.66
18 Rusnak Mercedes Benz Arcadia -25.81 32.19→6.38
19 New Excelsior Farming, LLC -25.63 32.90→7.27
20 Belair Care Center -24.62 35.63→11.01
21 Cromwell Academy -24.11 32.22→8.11
22 Owens Realty Services CT Janitorial -23.93 33.27→9.34
23 University of Pittsburgh Physicians -23.93 28.55→4.62
24 Gordon Aluminum -23.47 30.60→7.13
25 Jones Stevedoring -23.45 32.14→8.69
26 Avante Villa at Jacksonville Beach -23.31 35.85→12.54
27 Dtf Prep LLC -23.27 32.78→9.51
28 North Shore Place -23.24 27.88→4.64
29 Golden Age -23.11 23.94→0.83
30 Van Dyke Plnt -23.09 26.76→3.67
31 Schoolhouse Manufacturing,LLC -22.87 27.22→4.35
32 Paradise Chevrolet Cadillac -22.85 29.04→6.19
33 The West Hollywood EDITION -22.76 31.35→8.59
34 Swy-0029-0029-02306 Fac-02306-San Luis Obispo-Ca -22.57 31.55→8.98
35 Alamo Parcel Logistics, LLC -22.47 38.90→16.43
36 KMH Homes Inc dba The McAuleyResidence -22.43 39.81→17.38
37 Fire Department -22.34 30.84→8.50
38 NHC Healthcare, Kingsport -22.27 39.19→16.92
39 Fire Department HQ -22.19 23.01→0.82
40 Dellridge Health & Rehabilitation Center -22.09 31.85→9.76
41 Maine Veterans Homes South Paris -22.00 34.19→12.19
42 Trader Joe's 0635 Ardmore -21.65 35.73→14.08
43 Friendship Village Retirement Community -21.64 30.19→8.55
44 Trader Joe's 0740 Asheville -21.36 35.98→14.62
45 Hillcrest Heights Healthcare Center -21.17 27.39→6.22
46 Service Champions - Birch -21.10 34.69→13.59
47 UPMC Pinnacle Hospitals -21.02 29.33→8.31
48 CPD-1st District Police Station | 1718 S. State St. -21.00 33.09→12.09
49 Ridgeview Health Services -20.79 34.29→13.50
50 BMW of North America, LLC -20.71 22.22→1.51

National aggregates and industry averages live on statistics. Source: U.S. OSHA Injury Tracking Application.

Every figure and grade on PlainSafetyScore is computed directly from OSHA's published Injury Tracking Application data and BLS industry benchmarks, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these safety grades, or report a data error.