Certified nursing assistants have one of the highest reported rates of injury across the country and particularly in Ohio, according to a review of injury data and first-person stories reported in April by the Cleveland Plain Dealer.

Nursing assistants are injured three times more often than the average worker, researchers and government statistics show. In Ohio alone, they’re taking care of about 75,000 residents in 960 nursing facilities.

Nationally, the rate of injury among nursing assistants is similar to the rate among construction workers, police and firefighters, according to 2016 data from the U.S. Bureau of Labor Statistics.

In addition, privately owned skilled facilities and those operated by local governments fare better than state-run homes, with injury rates of 6.5 and 6.1 per 100, respectively. That’s compared to 13.7 at state-owned facilities.