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
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
| Standard | Citations | Penalties |
|---|---|---|
| 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
| State | Establishments | Inspections |
|---|---|---|
| Oregon | 4,098 | 4,881 |
| North Carolina | 1,710 | 2,342 |
| Pennsylvania | 1,198 | 1,693 |
| New York | 857 | 1,655 |
| California | 1,319 | 1,535 |
| Ohio | 822 | 1,072 |
| New Jersey | 450 | 807 |
| Michigan | 643 | 792 |
| Washington | 672 | 752 |
| Texas | 511 | 618 |
| Massachusetts | 440 | 606 |
| Minnesota | 543 | 586 |
| Illinois | 415 | 555 |
| Florida | 424 | 490 |
| Georgia | 369 | 478 |
Industry Size (BLS QCEW, 2024)
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)
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 dailyData 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.