Nursing and Residential Care Facilities OSHA Inspections and Citations

OSHA records for 19,737 establishments whose NAICS code starts with 623.

NAICS 623Records current through October 23, 2026.

19,737

Establishments

25,625

Inspections

51,990

Citations

$34,574,319

Current penalties

24,807 serious, 13 willful, 446 repeat, 26,695 other.

Inspections by year opened

1,406

2003 to 2026. 2026 is year to date through October 23, 2026. OSHA inspection records before 2003 rarely carry a NAICS code, so an inspection from those years appears here only when its establishment record carries a NAICS code.

Show all years

1,406

How the inspections started

Planned (H)15,29859.7%

Complaint (B)5,22820.4%

Referral (C)1,2785.0%

Follow-Up (F)1,1044.3%

Fatality/Catastrophe (M)7603.0%

Monitoring (D)5772.3%

Accident (A)3751.5%

Programmed Other (K)2871.1%

Other-L (L)2561.0%

Programmed Related (I)2441.0%

Unprogrammed Related (G)2020.8%

Unprogrammed Other (J)160.1%

DOL inspection type of each inspection, all 25,625 inspections.

Industry groups in NAICS 623

Industry group	Establishments	Inspections	Citations	Current penalties
6231 Nursing Care Facilities (Skilled Nursing Facilities)	10,246	13,799	30,660	$22,117,456
6233 Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly	5,677	6,641	14,009	$8,218,772
6232 Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities	2,988	4,131	5,617	$3,205,193
6239 Other Residential Care Facilities	826	1,054	1,704	$1,032,898

EstablishmentsPenalties

6231 Nursing Care Facilities (Skilled Nursing Facilities)10,246establishments$22,117,456current penalties

Establishments: 10,246
Inspections: 13,799
Citations: 30,660
Current penalties: $22,117,456

6233 Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly5,677establishments$8,218,772current penalties

Establishments: 5,677
Inspections: 6,641
Citations: 14,009
Current penalties: $8,218,772

6232 Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities2,988establishments$3,205,193current penalties

Establishments: 2,988
Inspections: 4,131
Citations: 5,617
Current penalties: $3,205,193

6239 Other Residential Care Facilities826establishments$1,032,898current penalties

Establishments: 826
Inspections: 1,054
Citations: 1,704
Current penalties: $1,032,898

By the 4-digit start of each establishment's NAICS code. The groups add up to the totals above.

Most cited standards

Standard	Citations	Share of 51,990	Current penalties
1910.1030General industry	11,798	22.7%	$7,212,932
1910.1200General industry	4,263	8.2%	$1,266,567
1910.134General industry	2,446	4.7%	$5,386,778
1910.305General industry	2,414	4.6%	$858,258
1910.303General industry	2,260	4.3%	$1,142,291
1910.132General industry	1,608	3.1%	$869,451
1910.147General industry	1,360	2.6%	$839,960
1910.151General industry	1,335	2.6%	$1,232,526
1904.29As recorded	1,211	2.3%	$383,297
1910.304General industry	1,139	2.2%	$454,343
1910.37General industry	879	1.7%	$323,566
1910.157General industry	748	1.4%	$113,013
1910.133General industry	633	1.2%	$518,768
1910.212General industry	613	1.2%	$462,523
1910.22General industry	502	1.0%	$405,404

CitationsPenalties

1910.1030General industry11,79822.7% of all citations$7,212,932current penalties

1910.1200General industry4,2638.2% of all citations$1,266,567current penalties

1910.134General industry2,4464.7% of all citations$5,386,778current penalties

1910.305General industry2,4144.6% of all citations$858,258current penalties

1910.303General industry2,2604.3% of all citations$1,142,291current penalties

1910.132General industry1,6083.1% of all citations$869,451current penalties

1910.147General industry1,3602.6% of all citations$839,960current penalties

1910.151General industry1,3352.6% of all citations$1,232,526current penalties

1904.29As recorded1,2112.3% of all citations$383,297current penalties

1910.304General industry1,1392.2% of all citations$454,343current penalties

1910.37General industry8791.7% of all citations$323,566current penalties

1910.157General industry7481.4% of all citations$113,013current penalties

1910.133General industry6331.2% of all citations$518,768current penalties

1910.212General industry6131.2% of all citations$462,523current penalties

1910.22General industry5021.0% of all citations$405,404current penalties

Paragraphs combined under their federal standard; State Plan and other codes kept whole. 15 of 2,132 standards cited in this industry. Shares are of all 51,990 citations, including items with no standard recorded. All standards

By state

State	Establishments	Inspections
Oregon	3,265	4,899
North Carolina	1,635	2,350
Pennsylvania	1,205	1,701
New York	861	1,665
California	1,361	1,586
Ohio	823	1,073
New Jersey	452	811
Michigan	651	801
Washington	601	758
Texas	514	621
Massachusetts	441	607
Minnesota	537	588
Illinois	417	558
Florida	427	493
Georgia	369	478

Oregon4,8993,265 establishments

North Carolina2,3501,635 establishments

Pennsylvania1,7011,205 establishments

New York1,665861 establishments

California1,5861,361 establishments

Ohio1,073823 establishments

New Jersey811452 establishments

Michigan801651 establishments

Washington758601 establishments

Texas621514 establishments

Massachusetts607441 establishments

Minnesota588537 establishments

Illinois558417 establishments

Florida493427 establishments

Georgia478369 establishments

By each establishment's primary location. The 15 states with the most inspections.

Severe injury reports

1,172

Reports

1,104

Hospitalization

Amputation

Reports filed with OSHA from January 4, 2015 to November 25, 2025 whose NAICS code on the report starts with 623. One report can record more than one outcome. These reports are not linked to the inspections above and are not inspection counts. OSHA severe injury reports

125

Other federal figures for NAICS 623

Different sources and populations, not compared with the OSHA enforcement figures above.

All private employers (BLS QCEW, 2025)

Establishments92,816

Average employment3,423,564

Average annual pay$46,541

National count of all private establishments from the BLS Quarterly Census of Employment and Wages, not only those with OSHA records.

Form 300A filings (OSHA ITA, 2025)

Establishments reporting22,815

Recordable cases85,577

Days-away cases31,942

Employer-recorded deaths8

Self-reported on Form 300A by establishments required to file under 29 CFR 1904.41, through OSHA's Injury Tracking Application. Case counts, not rates.

Injury and illness rate (BLS SOII, 2024)

Total recordable cases5.5 per 100 full-time workers

Relative standard error1.4%

BLS Survey of Occupational Injuries and Illnesses estimate for private industry, Nursing and residential care facilities.

Other health care and social assistance subsectors

621 Ambulatory Health Care Services16,797 622 Hospitals7,235 623 Nursing and Residential Care Facilities19,737 624 Social Assistance4,229

Health Care and Social Assistance, NAICS 62. Establishments listed per subsector. All industries

About these figures

Source: U.S. Department of Labor OSHA enforcement data. Industry is the NAICS code on its establishment record, taken from its inspection records. Standard pages count by the NAICS code on each inspection instead, so their industry figures can differ from this page.
Citations are violation items as DOL records them, deleted items excluded. Citations also include unclassified items and items with no type recorded. Current penalties are amounts after any reductions.
Having OSHA inspection records is common for businesses in regulated industries.

Official resources

OSHA industry pageStandards and guidance for NAICS 623osha.gov Hazard recognitionCommon workplace hazards and controlsosha.gov Training requirementsOSHA training standards and resourcesosha.gov File a safety complaintReport unsafe working conditionsosha.gov

Data Source and Methodology

DOL source data

Data on this page comes from the U.S. Department of Labor's OSHA enforcement database, accessed via the DOL public data API. Records are refreshed from published DOL data. We strive for accuracy, but errors in data processing or establishment grouping are possible. Penalty amounts reflect the latest penalty amounts on record in the DOL database and may differ from initial assessments or final amounts after informal conference, settlement, or judicial review. Company pages group inspection records by normalized employer name, city, and state as reported in OSHA records. That grouping is deterministic and non-fuzzy, but it is not a universal legal-entity identifier. If you believe any record is inaccurate, please report it and we will investigate. This product uses the DOL Data API but is not endorsed or certified by the DOL. For official and authoritative records, visit osha.gov.