Highest Risk Employers

Top 50 ranked by OSHA enforcement history

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Risk Score Total Fines Most Violations Willful Violations

State

#	Company	Location	Risk	Inspections	Violations	Total Fines	Last Inspected
1	ATLANTIS HEALTH CARE GROUP PR, INC Kidney Dialysis Centers	ISABELA, PR	CAverage32	1	10	$7K	Aug 6, 2025
2	DAVITA INC. Kidney Dialysis Centers	ANNAPOLIS, MD	BBelow average28	1	5	$1K	Nov 21, 2025
3	DAVITA INC Kidney Dialysis Centers	ROCHESTER, NY	BBelow average27	1	2	$4K	Feb 3, 2025
4	FRESENIUS MEDICAL CARE MANASSAS, LLC Kidney Dialysis Centers	MANASSAS, VA	BBelow average26	1	1	$9K	Jul 23, 2024
5	VILLAGEHEALTH DM LLC DBA DAVITA INTEGRATED KIDNEY CARE Kidney Dialysis Centers	GRAND RAPIDS, MI	BBelow average26	1	2	$3K	Feb 24, 2025
6	INSPIRA MEDICAL CENTERS, INC. Kidney Dialysis Centers	BRIDGETON, NJ	BBelow average26	1	2	$13K	Jan 16, 2026
7	FRESENIUS MEDICAL CENTER Kidney Dialysis Centers	WILMINGTON, DE	BBelow average23	1	1	$3K	Apr 26, 2023
8	317742101 - RENAL TREATMENT CENTERS - WEST INC Kidney Dialysis Centers	SALEM, OR	BBelow average22	1	2	$2K	Oct 7, 2025
9	317738957 - TOTAL RENAL CARE INC Kidney Dialysis Centers	COOS BAY, OR	BBelow average21	1	1	$1K	Dec 27, 2024
10	WA317984144 - TOTAL RENAL CARE INC Kidney Dialysis Centers	SEATTLE, WA	BBelow average21	1	1	$900	Jan 8, 2025
11	317734150 - TOTAL RENAL CARE INC Kidney Dialysis Centers	NEWPORT, OR	BBelow average20	1	1	$100	Aug 31, 2023
12	FRESENIUS MEDICAL CARE IRVINE LLC Kidney Dialysis Centers	LONG BEACH, CA	BBelow average12	1	2	$5K	Apr 30, 2025
13	CENTENNIAL DIALYSIS CENTER Kidney Dialysis Centers	LAS VEGAS, NV	ALow risk9	1	2	$1K	Aug 2, 2024
14	CHEYENNE DIALYSIS Kidney Dialysis Centers	LAS VEGAS, NV	ALow risk8	1	1	$259	Jul 31, 2024
15	DVA RENAL HEALTHCARE, INC. Kidney Dialysis Centers	HENDERSON, NV	ALow risk8	1	1	$259	Aug 2, 2024
16	TOTAL RENAL CARE INC. Kidney Dialysis Centers	MESQUITE, NV	ALow risk8	1	1	$550	Jul 25, 2024
17	AMERICAN DIALYSIS CENTERS, LAS VEGAS Kidney Dialysis Centers	NORTH LAS VEGAS, NV	ALow risk8	1	1	$259	Jul 31, 2024
18	QUALITY CARE DIALYSIS CENTER OF VEGA BAJA Kidney Dialysis Centers	VEGA BAJA, PR	ALow risk0	1	0	$0	Aug 7, 2025
19	WA317988955 - FRESENIUS MEDICAL CARE Kidney Dialysis Centers	LONGVIEW, WA	ALow risk0	1	0	$0	Dec 8, 2025
20	75826 - DAVITA PAMPLICO DIALYSIS Kidney Dialysis Centers	FLORENCE, SC	ALow risk0	1	0	$0	Aug 22, 2023
21	317735820 - PACIFIC KIDNEY & HYPERTENSION LLC Kidney Dialysis Centers	PORTLAND, OR	ALow risk0	1	0	$0	Mar 14, 2024
22	ATLANTIS HEALTH CARE GROUP OF PR INC. Kidney Dialysis Centers	SAN GERMAN, PR	ALow risk0	1	0	$0	Apr 27, 2022
23	BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC. Kidney Dialysis Centers	JUANA DIAZ, PR	ALow risk0	1	0	$0	Apr 7, 2025
24	317743859 - TOTAL RENAL CARE INC Kidney Dialysis Centers	MCMINNVILLE, OR	ALow risk0	1	3	$0	Apr 17, 2026
25	FRESENIUS KIDNEY CARE Kidney Dialysis Centers	JUNEAU, AK	ALow risk0	1	1	$0	Jul 7, 2022
26	FRESENIUS KIDNEY CARE LAS VEGAS Kidney Dialysis Centers	LAS VEGAS, NM	ALow risk0	1	2	$0	Jan 10, 2024
27	RAI CARE CENTERS OF MARYLAND I, LLC Kidney Dialysis Centers	HYATTSVILLE, MD	ALow risk0	1	0	$0	May 17, 2022
28	317730488 - TOTAL RENAL CARE INC Kidney Dialysis Centers	KLAMATH FALLS, OR	ALow risk0	1	1	$0	May 3, 2022
29	DAVITA GRAND BLANC DIALYSIS CENTER Kidney Dialysis Centers	GRAND BLANC, MI	ALow risk0	1	0	$0	Jun 10, 2024
30	DAVITA KIDNEY CARE CONTRACTING, LLC Kidney Dialysis Centers	FAYETTEVILLE, GA	ALow risk0	1	0	$0	Mar 3, 2022
31	WA317969557 - TOTAL RENAL CARE INC Kidney Dialysis Centers	SEATTLE, WA	ALow risk0	1	1	$0	Jul 13, 2022
32	WA317975152 - TOTAL RENAL CARE INC Kidney Dialysis Centers	FEDERAL WAY, WA	ALow risk0	1	2	$0	Jul 20, 2023
33	LIBERTY DIALYSIS-HAWAII LLC Kidney Dialysis Centers	HILO, HI	ALow risk0	1	0	$0	Nov 30, 2023
34	INDEPENDENT DIALYSIS CENTER Kidney Dialysis Centers	LOCK HAVEN, PA	ALow risk0	1	0	$0	Jan 12, 2022
35	317732519 - TOTAL RENAL CARE INC Kidney Dialysis Centers	BEND, OR	ALow risk0	1	3	$0	Mar 20, 2023
36	317739147 - FRESENIUS MEDICAL CARE DIALYSIS SERVICES OREGON... Kidney Dialysis Centers	SALEM, OR	ALow risk0	1	0	$0	Jan 13, 2025
37	DIALYSIS CLINIC, INC. Kidney Dialysis Centers	ELKO, NV	ALow risk0	1	0	$0	Jul 8, 2024
38	MULDOON DEVELOPMENT PARTNERS LLC Kidney Dialysis Centers	ANCHORAGE, AK	ALow risk0	1	0	$0	Aug 23, 2022
39	FRESENIUS MEDICAL CARE NKDHC, LLC Kidney Dialysis Centers	HENDERSON, NV	ALow risk0	1	0	$0	Aug 27, 2024
40	LIBERTY DIALYSIS - RENO HOME DIALYSIS LLC Kidney Dialysis Centers	RENO, NV	ALow risk0	1	0	$0	Jul 2, 2024
41	FLORIDA DIABETES & ENDOCRINOLOGY Kidney Dialysis Centers	APOLLO BEACH, FL	ALow risk0	1	0	$0	Jul 22, 2025
42	65976 - FRESENIUS MEDICAL CARE BOONE COUNTY LLC Kidney Dialysis Centers	FLORENCE, KY	ALow risk0	1	0	$0	Mar 21, 2023
43	DAVITA OAK PARK DIALYSIS Kidney Dialysis Centers	OAK PARK, MI	ALow risk0	1	0	$0	May 29, 2024
44	76079 - COASTAL KIDNEY CENTER Kidney Dialysis Centers	CONWAY, SC	ALow risk0	1	0	$0	Mar 19, 2024
45	WA317972582 - NORTHWEST KIDNEY CENTERS INC Kidney Dialysis Centers	SEATTLE, WA	ALow risk0	1	0	$0	Feb 9, 2023
46	TOTAL RENAL CARE, LLC Kidney Dialysis Centers	CERES, CA	ALow risk0	1	0	$0	Jul 9, 2025
47	317741766 - TOTAL RENAL CARE INC Kidney Dialysis Centers	CORVALLIS, OR	ALow risk0	1	0	$0	Oct 28, 2025
48	WA317991767 - NORTHWEST KIDNEY CENTERS INC Kidney Dialysis Centers	BELLEVUE, WA	ALow risk0	1	0	$0	Jun 23, 2026

Data sourced from the US Department of Labor OSHA Enforcement Database, updated weekly.