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Establishment profile

HIGHLANDS ARH REGIONAL MEDICAL CENTER

5000 KY RT 321, PRESTONSBURG, KY, 41653
Operated by Appalachian Regional Healthcare · 1 of 2 establishments
622110General Medical and Surgical Hospitals

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OSHA inspections
1
over 4 years
Violations
0
Penalties
$0
Accident investigations on record
1 fatality

Summary

HIGHLANDS ARH REGIONAL MEDICAL CENTER has accumulated 0 OSHA violations across 1 inspection over 4 years of recorded history.

The most recent federal enforcement activity was recorded 4 years ago.

Federal records were found in 1 of 16 sources. Sources without matching records returned empty for this establishment.

Agency coverage

HIGHLANDS ARH REGIONAL MEDICAL CENTER appears in OSHA workplace safety and NLRB labor relations records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, OFCCP federal contractor compliance, OFLC visa and labor certification, FMCSA motor carrier registration, SAM.gov federal debarment, USAspending federal contracts, CMS nursing home enforcement, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls as of 2026-05-05.

OSHA workplace safety

Inspections
1
0.3 / yr · last 4 yrs
Violations
0
0.0 / yr
Penalties
$0
Trend
STABLE
MEDIUM confidence

Peer comparison

0th

Fewer violations than most other employers in NAICS 6221 within KY. Peer group: 153 employers. This establishment has 0 OSHA violations; peer median is 0.

Fewer violationsMore violations
Penalty percentile
0th
peer median: $0
Inspection frequency
0th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
1.2
vs industry
−0.9
TRIR
9.4
vs industry
+4.3

Reported for 485 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
5.1
BLS SOII 2024
Industry avg DART
2.1
BLS SOII 2024
Self-reported TRIR
9.4
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with Occupational Safety and Health Administration

OSHA accident events

Accidents, fatalities, and catastrophes documented during OSHA inspections at this employer. Each entry links to the inspection that recorded it.

DateEventInjuriesHospitalizedFatalities
Aug 1, 2021Infectious DiseaseFatality11

Source: OSHA accident investigations. Narratives are recorded by the inspecting officer and may be truncated.

Activity timeline

Data refreshed
2026-05-05
First OSHA inspection
Most recent activity
4 years ago

No federal enforcement activity has been recorded against this establishment in 4+ years. Most recent activity: 4 years ago. Data on this page was last refreshed on 2026-05-05.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

Total cases
1
Unfair labor practice
1

National Labor Relations Board — unfair labor practice charges and union representation cases.

Visa & labor certification (OFLC)

No H-1B, H-2A, or H-2B labor condition applications on file for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with Environmental Protection Agency

Federal contracts (5-year)

No federal contract awards on file in the past 5 years for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with USAspending.gov

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for HIGHLANDS ARH REGIONAL MEDICAL CENTER as of 2026-05-05. Verify directly with UVA Corporate Prosecution Registry

Inspection history

DateTriggerViolationsSeriousPenalty
2021-08-12Fatality/Catastrophe0$0

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

HIGHLANDS ARH REGIONAL MEDICAL CENTER is one of 2 establishments rolled up under the parent organization Appalachian Regional Healthcare.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of Appalachian Regional Healthcare across all 2 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in general medical and surgical hospitals within KY, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by Appalachian Regional Healthcare, ordered by federal enforcement volume:

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About this data

This profile aggregates federal enforcement records on HIGHLANDS ARH REGIONAL MEDICAL CENTER from 16 federal data sources plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, USAspending federal contracts, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup Appalachian Regional Healthcare, which operates 2 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

Frequently asked

What is HIGHLANDS ARH REGIONAL MEDICAL CENTER's OSHA violation history?
HIGHLANDS ARH REGIONAL MEDICAL CENTER has 1 OSHA inspection on record with 0 violations and $0 in total penalties.
How does HIGHLANDS ARH REGIONAL MEDICAL CENTER's safety record compare to its industry?
HIGHLANDS ARH REGIONAL MEDICAL CENTER operates in the general medical and surgical hospitals industry. The industry average Total Recordable Incident Rate (TRIR) is 5.1. HIGHLANDS ARH REGIONAL MEDICAL CENTER's self-reported DART rate is 1.18 compared to an industry average of 2.1.
Has HIGHLANDS ARH REGIONAL MEDICAL CENTER had any workplace fatalities?
Yes. Federal records show 1 fatality investigation involving HIGHLANDS ARH REGIONAL MEDICAL CENTER.