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Data / Workplace safety / Nursing Care Facilities (Skilled Nursing Facilities)

OSHA citations in Nursing Care Facilities (Skilled Nursing Facilities): 940 establishments, $5,189,781 in penalties (2021 to 2026)

OSHA cited 940 establishments in Nursing Care Facilities (Skilled Nursing Facilities) (NAICS 6231) between November 19, 2021 and September 24, 2026: 2,982 citations, $7,402,076 in initial penalties and $5,189,781 in current penalties.

SpecStream is the live web data engine for teams and agents. It reads OSHA inspections and citations from the US Department of Labor's enforcement data, and this page is that reading. Ask for the employers you check by industry, state or standard and new inspections and citations arrive in your sheet, CRM, Slack or agent as they are posted.

Industry
NAICS 6231, Nursing Care Facilities (Skilled Nursing Facilities)
Establishments cited
940
Citations
2,982
Penalties
$7,402,076 initial, $5,189,781 current

By state

StateEstablishmentsCitationsCurrent penalties
California113416$479,080
Ohio52141$431,901
Oregon141499$347,318
Pennsylvania51146$346,607
Illinois52128$301,195
North Carolina50236$273,050
New Jersey1754$257,235
Massachusetts1947$255,737
Nevada3575$245,897
New York2687$243,121
Minnesota2299$194,045
Connecticut1953$182,764
Texas3263$143,789
Michigan71303$137,940
New Mexico949$122,370
Maine1235$120,654
Washington3096$101,961
Rhode Island820$99,803
Wisconsin1116$90,085
Virginia1233$80,322
Colorado1840$78,220
Georgia1832$73,982
Missouri922$66,061
Kentucky1840$63,425
Hawaii625$63,006
Nebraska22$49,779
Puerto Rico730$39,228
Mississippi612$36,833
West Virginia79$34,928
Florida812$33,906
Iowa512$32,629
Wyoming58$28,097
South Dakota39$21,474
Indiana413$18,105
Arkansas13$15,553
Tennessee840$15,000
Vermont29$14,295
Maryland1038$13,903
Louisiana24$11,271
Alabama79$10,445
Kansas11$5,531
Delaware11$3,795
Montana22$2,032
Arizona12$1,750
South Carolina12$1,662
Alaska22$0
Oklahoma25$0
Utah22$0

Most penalized establishments

Ranked by current penalties. Each row links to OSHA's record of its latest cited inspection.

EstablishmentCityStateCitationsInitial penaltiesCurrent penaltiesLatest citationSource
Comprehensive at Orleans, LLCAlbionNY25$103,055$102,589August 6, 2026osha.gov
The Jewish Home for the Elderly of Fairfield County, Inc.BridgeportCT2$125,340$87,738September 27, 2022osha.gov
Marlboro Hills Ma SNF LLCMarlboroughMA5$162,081$76,300August 23, 2022osha.gov
Healthcare Services Group, Inc.Carson CityNV1$59,115$59,115October 27, 2025osha.gov
Athena Health Care Systems Ri LLCWoonsocketRI1$72,510$58,008October 6, 2022osha.gov
Majestic Care of Cedar VillageMasonOH6$76,654$54,950September 13, 2022osha.gov
Mountain View Care CenterBoulder CityNV14$83,628$48,600December 16, 2024osha.gov
Oconto Falls Nursing and Rehab, LLCOconto FallsWI2$81,833$47,857June 2, 2022osha.gov
Evangelical Lutheran Good Samaritan Society - SyracuseSyracuseNE1$45,579$45,579April 1, 2022osha.gov
Elmwood Hills Healthcare Center LLCBlackwoodNJ7$56,693$45,000April 24, 2024osha.gov
Hudson Hills Senior LivingNorth BergenNJ8$44,753$44,753July 12, 2022osha.gov
Avalon Care Center - Honolulu, L.L.C.HonoluluHI12$60,156$42,109December 12, 2024osha.gov
Bristol Health & Rehab Center, LLCBristolPA4$41,611$41,611June 17, 2026osha.gov
The Neighborhood in Rio Rancho Life Plan CommunityRio RanchoNM6$37,300$37,300July 10, 2024osha.gov
Foundations Health SolutionsSaint ClairsvilleOH2$58,080$34,848March 7, 2024osha.gov
Southview Operations LLCSaint PaulMN7$32,500$32,500February 24, 2026osha.gov
Governor's Center Re LLCWestfieldMA2$31,905$31,905August 19, 2022osha.gov
Ventas Aoc Operating Holdings IncRoanokeVA4$31,750$31,750July 28, 2025osha.gov
Sunnybrook Rehabilitation Center, LLCRaleighNC16$30,095$30,095October 6, 2025osha.gov
Sunny Acres Nursing Home, Inc.ChelmsfordMA6$58,830$30,000August 9, 2022osha.gov
Principle Long Term Care, Inc.SmithfieldNC6$29,700$29,700August 2, 2023osha.gov
Maplewood Nursing & Rehabilitation CenterPhiladelphiaPA4$45,122$29,329November 10, 2022osha.gov
Complete Care at Passaic, LLCPatersonNJ9$44,199$28,729August 1, 2023osha.gov
Mesa Assisted Living, LLCMesquiteNV7$47,750$28,650September 9, 2024osha.gov
ST. John's Healthcare CorporationRochesterNY8$47,285$28,500March 14, 2025osha.gov
Riverpark Operations LLCEugeneOR15$32,548$27,590July 10, 2026osha.gov
Keizer Nursing & Rehab Center LLCKeizerOR10$27,072$27,072March 5, 2025osha.gov
Windsor Gardens Convalescent Hospital, Inc.Los AngelesCA4$26,375$26,375August 22, 2023osha.gov
Hillcrest Commons Extended CarePittsfieldMA2$26,104$26,104October 13, 2022osha.gov
Polaris Health and Wellness of Autumn TerraceRaytownMO2$26,104$26,104November 25, 2022osha.gov
Country Lane Gardens Rehabilitation and Nursing CenterThornvilleOH3$25,526$25,526July 6, 2022osha.gov
Washington Operating, LLCWashingtonPA8$24,241$24,241March 16, 2022osha.gov
Wa317979807 - Care Center Hazel Dell IncVancouverWA10$24,000$24,000October 3, 2024osha.gov
Pine View Nursing & Convalescent Home, Inc.HarrisvilleWV3$29,008$24,000July 25, 2022osha.gov
Cherry Hill Rehab and Care Center LLCCherry HillNJ3$47,857$23,500June 14, 2022osha.gov
Rancho San Antonio Retirement Services, Inc.CupertinoCA3$23,500$23,500April 30, 2025osha.gov
Five Star Senior LivingKingstonPA5$29,028$23,222September 1, 2023osha.gov
Helia Healthcare of Belleville, LLC DBA Four Fountains Convalescent CenterBellevilleIL4$33,148$23,204July 8, 2022osha.gov
Shorefront Operating LLC.BrooklynNY2$23,048$23,048April 2, 2024osha.gov
Harbour View Senior Living CenterNorth BergenNJ3$33,876$21,500February 12, 2024osha.gov
Optalis Health and RehabilitationColumbusOH6$35,716$21,430July 24, 2023osha.gov
Stearns Nursing and Rehabilitation Center LLCGranite CityIL3$21,752$21,245August 22, 2022osha.gov
Omni Manor, Inc.ColumbianaOH2$113,960$20,720August 26, 2022osha.gov
Santa Monica Rehabilitation CenterSanta MonicaCA4$20,625$20,625February 2, 2026osha.gov
Belleville Healthcare & Rehabilitation Center, Inc. DBA Bria Health Services of BellevilleBellevilleIL2$29,004$20,303June 13, 2022osha.gov
538 Menge Avenue Operations, LLCPass ChristianMS5$40,197$20,099March 19, 2026osha.gov
Colonial Heights Operator, LLC.Colonial HeightsVA9$20,055$20,055March 24, 2026osha.gov
Merritt Manor Convalescent HospitalTulareCA6$19,865$19,865December 8, 2023osha.gov
Valley Nursing Healthcare, LLCTaylorsvilleNC10$30,517$19,836February 18, 2025osha.gov
Superior Rehabilitation Center, LLC.SuperiorWI4$19,060$19,060June 9, 2022osha.gov
Meadow View Nursing CenterBerlinPA15$36,177$19,000May 14, 2025osha.gov
Shenandoah Heights Healthcare LLCShenandoahPA3$24,612$19,000July 1, 2022osha.gov
Eugene of Cascadia LLCEugeneOR5$18,829$18,829August 6, 2025osha.gov
Elim Homes Inc DBA Elim Wellspring Assisted LivingPrincetonMN8$31,200$18,720February 17, 2026osha.gov
Complete Care at MarcellaBurlingtonNJ2$21,876$18,138April 21, 2023osha.gov
Franklin Heights Nursing and Rehab CenterEl PasoTX4$28,127$18,009November 27, 2023osha.gov
Brookmont Healthcare Center, LLCEffortPA5$28,001$18,000July 16, 2024osha.gov
CLR Troy LLCTroyNY3$27,664$17,982November 25, 2025osha.gov
Santa Fe Care CenterSanta FeNM9$25,600$17,920February 9, 2023osha.gov
Georgian Gardens Healthcare LLCPotosiMO6$35,490$17,745October 18, 2024osha.gov
Services for All Generations Enterprises IncPortlandOR15$17,517$17,517March 12, 2026osha.gov
Care Pavilion Nursing and Rehabilitation CenterPhiladelphiaPA4$26,934$17,507November 9, 2022osha.gov
Petersen Health Junction, LLCCantonIL6$29,005$17,403July 18, 2022osha.gov
The Oaks of West KetteringKetteringOH8$56,606$17,215June 3, 2025osha.gov
Good Samaritan Society Inver Grove HeightsSouth Saint PaulMN5$17,150$17,150February 12, 2025osha.gov
Manorcare Health ServicesWest DeptfordNJ4$19,030$16,886July 24, 2023osha.gov
Nexus at Alton LLC DBA Bria of Alton LLCAltonIL2$16,884$16,884July 8, 2026osha.gov
The Suites Rio VistaRio RanchoNM7$16,800$16,800October 30, 2022osha.gov
Liberty Village of PittsfieldPittsfieldIL6$23,409$16,386April 14, 2025osha.gov
Maria Joseph Living Care CenterDaytonOH5$22,790$15,953May 12, 2022osha.gov
Streetsboro Opco LLCStreetsboroOH5$31,446$15,722May 28, 2025osha.gov
Pioneer Healthcare Management Inc DBA Regency Manor Nursing and Rehabilitation CenterUticaMI20$15,700$15,700April 8, 2024osha.gov
Columbus Center, LLCColumbusGA3$26,104$15,664September 8, 2022osha.gov
Barrow Healthcare LLCLittle RockAR3$23,928$15,553September 9, 2022osha.gov
Hogar De Mis Abuelos, Inc.ManatiPR6$15,500$15,500May 7, 2024osha.gov
Concord Operator LLCConcordNC16$15,450$15,450June 16, 2025osha.gov
Wa317991515 - Harborview Manor LLLPTacomaWA3$15,411$15,411September 24, 2026osha.gov
Southwest LTCCorsicanaTX2$25,536$15,322January 30, 2025osha.gov
Guava Holdings, LLCYuba CityCA8$15,275$15,275August 21, 2025osha.gov
Elevate Care Niles, LLCNilesIL3$22,564$15,000July 11, 2022osha.gov
Paramus Veterans Memorial HomeParamusNJ3$15,000$15,000February 16, 2024osha.gov
Lakewood Healthcare Centers, LLC.WatervilleME4$24,471$14,895March 23, 2026osha.gov
ST. Joseph Living Center, Inc.WindhamCT11$23,706$14,500May 19, 2023osha.gov
Lillington Operations, LLCLillingtonNC6$22,117$14,376September 25, 2024osha.gov
Gardenview Healthcare & Wellness Centre LPClaremontCA12$14,370$14,370May 29, 2024osha.gov
Virginia Dept. of Behavioral Health & Developmental ServicesBurkevilleVA2$14,270$14,270May 17, 2023osha.gov
Pelican Health ReidsvilleReidsvilleNC8$14,250$14,250June 16, 2022osha.gov
Chehalem SNF Healthcare LLCNewbergOR6$14,120$14,120October 3, 2025osha.gov
Fairport Baptist HomesFairportNY7$28,208$14,104February 7, 2024osha.gov
Sapphire at Belmont LLCPortlandOR7$14,011$14,011September 30, 2024osha.gov
Utah Lake Holdings LLCSan DiegoCA4$13,870$13,870August 18, 2025osha.gov
Apple Health Care, Inc.MeridenCT4$27,653$13,827June 17, 2024osha.gov
3102 Saint Charles Drive Operating Company, Inc.SteubenvilleOH2$22,789$13,673May 27, 2022osha.gov
Medford Operations LLCMedfordOR15$13,605$13,605April 24, 2025osha.gov
East Longmeadow Management Systems, Inc.East LongmeadowMA4$13,425$13,425July 6, 2022osha.gov
Lime Ridge Healthcare LLCConcordCA5$13,275$13,275June 11, 2024osha.gov
Summerplace Community Healthcare LLCPortlandOR4$13,226$13,226March 4, 2026osha.gov
Chi Living Communities LLCPerrysburgOH6$13,052$13,052July 25, 2022osha.gov
Sonida Senior LivingCantonOH4$13,052$13,052April 6, 2022osha.gov
Bryan Healthcare and Rehabilitation Center LLCBryanOH3$13,052$13,052September 1, 2022osha.gov

Standards cited most often

StandardTitleCitationsEstablishmentsInitial penaltiesCurrent penalties
1910.134Respiratory protection514237$2,774,950$1,803,348
1910.1030Bloodborne pathogens311119$830,373$586,643
1910.1200Hazard communication154111$271,280$181,353
1904.41Electronic submission of Employer Identification Number (EIN) and injury and illness records to OSHA9693$159,458$111,212
1910.303General9683$197,539$130,204
1910.132General requirements6256$117,750$77,305
1910.305Wiring methods, components, and equipment for general use6247$103,387$76,465
1910.502Healthcare4441$56,025$44,400
1910.151Medical services and first aid4242$277,809$209,552
1904.29Forms3231$42,518$25,585
1910.147The control of hazardous energy (lockout/tagout)3222$115,278$86,921
1910.1001Asbestos2918$33,366$21,725
1910.37Maintenance, safeguards, and operational features for exit routes2924$35,101$28,218
1904.39Reporting fatalities, hospitalizations, amputations, and losses of an eye as a result of work-related incidents to OSHA2626$164,632$118,259
1910.22General requirements2623$74,527$62,727

Citations by year issued

Year issuedCitationsCurrent penalties
202124$21,389
2022781$1,980,085
2023619$730,043
2024625$1,002,606
2025612$872,620
2026321$583,037

Updated November 3, 2026. Read from US Department of Labor, OSHA enforcement data. Public domain (U.S. government work). Penalties are as OSHA records them on the date this page was read and can change after a contest or a settlement. Citations OSHA deleted are left out. Each row links to OSHA's own inspection record. This page uses US Department of Labor data and is not endorsed or certified by the US Department of Labor. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.