Nursing Homes: Facilities Now Subject To Site Specific Targeting Program

January 23, 2004 Advisory

OSHA's National Emphasis Program (NEP), under which it inspected over 800 nursing homes since July 2002, expired on September 30, 2003. OSHA will not renew the program. Instead, in an OSHA directive released on October 20, 2003, it added nursing homes and personal care facilities to its 2003 Site Specific Targeting Program (SST). This change is expected to reduce by half the number of yearly OSHA nursing home inspections.
The SST program selects for inspection individual worksites as identified through the 2002 Data Initiative. The 2002 Data Initiative is a nationwide collection of injury and illness data. Under the SST, OSHA will place a nursing home on its SST primary inspection list if the nursing home's days away from work injury and illness case rate (DAFWII) is at or above 9.0 or its lost workday injury and illness rate (LWDII) is at or above 14.0. A DAFWII of 9 or higher means a worksite has nine or more cases involving days away from work per 100 full-time employees. The LDWII rate is the number of lost work day injuries and illnesses divided by the total number of hours worked by all workers during the calendar year multiplied by 200,000 (the base for 100 full-time equivalent workers.) OSHA estimates that pursuant to the SST program it will inspect about 400 nursing homes in fiscal 2004.