NAICS 623110 · Health Care and Social Assistance
OSHA Recordkeeping for Nursing Care Facilities (Skilled Nursing Facilities)
Nursing care facilities had the highest rate of the industries on these pages in 2024: 6.3 recordable cases per 100 full-time workers, 4.5 of them with days away, restricted work or a job transfer. They also record more privacy cases than most employers: needlesticks, tuberculosis and hepatitis infections, and work-related mental illness all keep the name off the 300 log (29 CFR 1904.29(b)(7)).
Who keeps and files OSHA records
NAICS 623110 is not on OSHA's partially exempt list, so the size rule decides the log (29 CFR 1904.1 (opens in a new tab)) and the filing appendices decide what goes to OSHA (1904.41 (opens in a new tab)).
- OSHA 300, 300A and 301
- Required
- Once the company passes 10 employees at any time in the year.
- 300A e-filing by March 2
- From 20 employees
- Per establishment; appendix A industry.
- 300 and 301 case data
- From 100 employees
- Per establishment; appendix B industry.
2024 injury rates for nursing homes
Cases per 100 full-time workers, as published by BLS for NAICS 6231, nursing care facilities (skilled nursing facilities), the closest industry it publishes that includes 623110. The TRIR of 6.3 is 2.7 times the private-industry rate of 2.3.
- Total recordable (TRIR)
- 6.3
- Columns H, I and J
- Days away, restricted or transferred (DART)
- 4.5
- Columns H and I
- Days away from work
- 3.1
- Column H
| Full-time employees | Hours worked a year | Cases at TRIR 6.3 |
|---|---|---|
| 25 | 50,000 | 1.6 |
| 50 | 100,000 | 3.1 |
| 100 | 200,000 | 6.3 |
Your rate is recordable cases × 200,000 ÷ hours worked; the TRIR calculator works it out from your 300A.
Recordable or not: cases from nursing homes
- A needlestick contaminated with another person's blood is recordable whatever the treatment, and it is a privacy case: the log shows "privacy case" instead of the name. (29 CFR 1904.8, 1904.29(b)(7)(v))
- A mental illness is a privacy case too, and is recordable only when the employee gives you a physician's or licensed professional's opinion that it is work-related. (29 CFR 1904.5(b)(2)(ix), 1904.29(b)(7)(iii))
For a case of your own, the recordable checker walks through the same rules.
What 29 CFR 1904 requires
OSHA 300 log
Each recordable case, within 7 calendar days. 1904.29(b)(3) (opens in a new tab)
OSHA 301 report
One per case, same 7 days; an equivalent form works. 1904.29(b)(4) (opens in a new tab)
OSHA 300A summary
Certified by an executive, posted February 1 to April 30. 1904.32 (opens in a new tab)
Privacy cases
Six case types keep the name off the log. 1904.29(b)(7) (opens in a new tab)
Severe injury reports
Fatality in 8 hours; hospitalization, amputation, eye loss in 24. 1904.39 (opens in a new tab)
Retention
All three forms kept five years. 1904.33 (opens in a new tab)
Hazards OSHA addresses for this work
Nursing Homes: recordkeeping questions
Does every nursing home have to keep an OSHA 300 log?
Every nursing care facility whose company had more than 10 employees at any time last year does: the industry isn't partially exempt (29 CFR 1904.1). Each facility is its own establishment, with its own log and 300A (1904.30(a)), and a company with several facilities counts all of their staff toward the 10.
What do nursing homes file with OSHA by March 2?
Nursing care facilities, NAICS 6231, are in both appendices to 29 CFR 1904.41. A facility with 20 or more employees at any time last year submits its 300A through the Injury Tracking Application by March 2; a facility with 100 or more submits its 300 log and 301 case data too. Employee names and addresses are left out of that submission.
What is the difference between the 300 log and the 300A in a nursing home?
The 300 log names each case, line by line, within 7 calendar days (29 CFR 1904.29(b)(3)), except privacy cases, which show "privacy case" in place of the name. The 300A carries no names at all: it totals the log for the year and is posted from February 1 to April 30 once a company executive certifies it (1904.32). At the 2024 average of 6.3, a facility with 100 full-time staff would log about 6 cases a year.