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Nursing and Residential Care FacilitiesOSHA Violations & Inspection Records

This subsector includes establishments providing residential care combined with nursing, supervisory, or other types of care, including skilled nursing facilities, assisted living facilities, and residential mental health facilities.

Records current through Jul 7, 2026

19,543
Establishments
25,446
Inspections
49,490
Violations
$33,579,981
Total Penalties

Common Workplace Hazards

Common workplace hazards include musculoskeletal injuries from patient lifting and repositioning, workplace violence from patients with behavioral issues, and exposure to bloodborne pathogens. Workers may also face slip and fall hazards, infectious disease risks, and chemical exposure from cleaning and disinfection.

Most Cited Standards in Nursing and Residential Care Facilities

StandardCitationsPenalties
1910.151
Medical Services and First Aid
OSHA citation code: 19100151 C
1,214$1,168,660
1910.1200
Hazard Communication
OSHA citation code: 19101200 E01
1,197$598,859
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 C01 IV
731$258,377
1910.132
Personal Protective Equipment - General Requirements
OSHA citation code: 19100132 D02
623$108,082
1910.133
Eye and Face Protection
OSHA citation code: 19100133 A01
595$482,957
1910.134
Respiratory Protection
OSHA citation code: 19100134 E01
574$1,836,405
1910.1200
Hazard Communication
OSHA citation code: 19101200 H01
562$204,629
1910.134
Respiratory Protection
OSHA citation code: 19100134 F02
496$886,479
1904.29
Forms
OSHA citation code: 19040029 B01
482$174,852
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 H05 I
478$64,039

Top States for Nursing and Residential Care Facilities

StateEstablishmentsInspections
Oregon4,0984,881
North Carolina1,7102,342
Pennsylvania1,1981,693
New York8571,655
California1,3191,535
Ohio8221,072
New Jersey450807
Michigan643792
Washington672752
Texas511618
Massachusetts440606
Minnesota543586
Illinois415555
Florida424490
Georgia369478

Industry Size (BLS QCEW, 2024)

91,434
All Private Establishments (2024)
3,312,826
Avg. Annual Employment
$45,330
Avg. Annual Pay

National private-industry totals for Nursing and Residential Care Facilities (NAICS 623) in 2024, from the U.S. Bureau of Labor Statistics Quarterly Census of Employment and Wages. These are industry-wide totals from a near-complete federal count of employers. They describe the industry overall and are not a measurement of any single establishment or of OSHA enforcement activity. This is the full count of private-sector establishments in the industry, not only those with OSHA inspection records, so it is not directly comparable to the establishment count shown above.

OSHA Form 300A Reports (ITA, 2024)

21,277
Establishments Reporting (2024)
96,028
Recordable Cases
41,548
Days-Away Cases
11
Employer-Recorded Deaths

What Nursing and Residential Care Facilities (NAICS 623) establishments reported on their OSHA Form 300A summaries for 2024, submitted through OSHA's Injury Tracking Application. These are counts employers reported themselves, not the result of an OSHA inspection, and only establishments required to file under 29 CFR 1904.41 are included, so this is not every employer in the industry and is not directly comparable to the inspection counts above. Deaths are employer-recorded on the form, distinct from OSHA-investigated fatalities. These are case counts, not injury rates; for rates see the BLS Survey of Occupational Injuries and Illnesses.

Official Resources

Data Source and Methodology

Data synced daily

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 updated daily. 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.