45,211 documented enforcement actions across 73 regulated industries
| Entity | Location | Year | Industry | Penalty | Deaths |
|---|---|---|---|---|---|
| WESTWOOD CENTER | BLUEFIELD, VA | 2023 | Assisted Living / Long-Term Care | $247,727 | |
| Colonial Nursing & Rehabilitation Center | Lindale, TX | 2024 | Assisted Living / Long-Term Care | $247,572 | |
| Lehigh Southwest Cement Co. | , | 2019 | Mining Operations | $247,564 | |
| Buchanan Minerals, LLC | , | 2025 | Mining Operations | $247,402 | |
| Medford Trucking, LLC | , | 2013 | Mining Operations | $247,087 | |
| City of Hammond | , IN | 2026 | Ambulance / Medical Transport | $247,000 | |
| Colonial Manor Advanced Rehab and Healthcare | , TX | 2021 | Ambulance / Medical Transport | $247,000 | |
| Benedictine Living Community Crookston | , MN | 2026 | Healthcare General | $247,000 | |
| Baptist Medical Center South | , AL | 2026 | Hospitals / Health Systems | $247,000 | |
| SpecialtyCare Surgical Assist | , FL | 2026 | Physician Practices | $247,000 | |
| GENERATIONS OAKTON PAVILLION | DES PLAINES, IL | 2023 | Assisted Living / Long-Term Care | $246,873 | |
| Mosaic Potash Carlsbad Inc | , | 2025 | Mining Operations | $246,658 | |
| Lafarge Mid-Atlantic, LLC | , | 2013 | Mining Operations | $246,625 | |
| Prospect Ranch LLC | Weld County, CO | 2025 | Agricultural Operations | $246,609 | 6 |
| Heidelberg Materials US Cement LLC | , | 2026 | Mining Operations | $246,582 | |
| LIBERTYVILLE MANOR EXT CARE | LIBERTYVILLE, IL | 2023 | Assisted Living / Long-Term Care | $246,461 | |
| Advent Mining LLC | , | 2011 | Mining Operations | $246,345 | |
| Oklahoma Medical Clinic, Owners, And Treating Physician | , OK | 2026 | Physician Practices | $246,000 | |
| GCC Permian | , | 2022 | Mining Operations | $245,914 | |
| Confederated Tribes of the Colville Reservation Enter Into False Claims Act and Voluntary Compliance | , WA | 2017 | Behavioral Health | $245,860 | |
| AMOCO OIL COMPANY (YORKTOWN REFINERY) | , | 1995 | Oil & Gas / Chemical | $245,715 | |
| CALIFORNIA POST ACUTE | LOS ANGELES, CA | 2022 | Assisted Living / Long-Term Care | $245,616 | |
| CALIFORNIA POST ACUTE | LOS ANGELES, CA | 2023 | Assisted Living / Long-Term Care | $245,616 | |
| SOUTHWESTERN VETERANS CENTER | PITTSBURGH, PA | 2023 | Assisted Living / Long-Term Care | $245,564 | |
| CAMPBELL HALL REHABILITATION CENTER INC | CAMPBELL HALL, NY | 2023 | Assisted Living / Long-Term Care | $245,508 | |
| Adrian Bay Rehabilitation and Nursing Center | Adrian, MI | 2023 | Assisted Living / Long-Term Care | $245,476 | |
| LEGACY NURSING AND REHABILITATION OF PLAQUEMINE | PLAQUEMINE, LA | 2023 | Assisted Living / Long-Term Care | $245,413 | |
| Trader Construction Co | , | 2013 | Mining Operations | $245,000 | |
| Brown Brothers Sand Company | , | 2016 | Mining Operations | $245,000 | |
| Ambulance Company Owners | , | 2026 | Hospitals / Health Systems | $245,000 | |
| PRESTON ENGRAVERS INC | , | 2001 | Environmental Compliance | $245,000 | |
| Infusion4Health | , CA | 2026 | Physician Practices | $245,000 | |
| HILLTOP HEALTHCARE REHABILITATION AND SKILLED NURS | DULUTH, MN | 2024 | Assisted Living / Long-Term Care | $244,730 | |
| Tarmac America LLC | , | 2012 | Mining Operations | $244,569 | |
| Noranda Alumina LLC | , | 2014 | Mining Operations | $244,541 | |
| RHONE-POULENC INC. | , | 1995 | Environmental Compliance | $244,294 | |
| Wilmington Doctor and Medical Practice | , | 2026 | Physician Practices | $244,000 | |
| Attorney General Raoul Charges Cook County Woman Over Alleged Medicaid Fraud | , | 2026 | Physician Practices | $244,000 | |
| REUNION PLAZA SENIOR CARE AND REHABILITATION CENTE | TEXARKANA, TX | 2023 | Assisted Living / Long-Term Care | $243,946 | |
| North 321 Stone Co., Inc. | , | 2012 | Mining Operations | $243,500 | |
| LESSARD BROTHERS CONSTRUCTION, INC. | LEWISTON, ME | 2010 | Construction Contractors | $243,360 | |
| Avir at Athens | ATHENS, TX | 2023 | Assisted Living / Long-Term Care | $243,325 | |
| Pennsylvania Granite Corp | , | 2012 | Mining Operations | $243,305 | |
| Ccc Group Inc | , | 2011 | Mining Operations | $243,251 | |
| Performance Coal Company | , | 2011 | Mining Operations | $243,241 | |
| TANGLEWOOD NURSING & REHABILITATION | TOPEKA, KS | 2023 | Assisted Living / Long-Term Care | $243,033 | |
| Brentwood Healthcare | , TX | 2026 | Healthcare General | $243,000 | |
| Walnut Creek Nursing Center | , OH | 2025 | Assisted Living / Long-Term Care | $243,000 | |
| Nelson County Drug Store Owner Sentenced To 27 Months for Health Care Fraud and Wire Fraud | , KY | 2013 | Independent Pharmacies | $242,963 | |
| HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER | DANVERS, MA | 2023 | Assisted Living / Long-Term Care | $242,785 |