With a community-based, participatory approach guided by the TWH paradigm, it was feasible to implement a multilevel needs assessment to identify jail workplace characteristics that inform health promotion and protection interventions. Parsing these data to describe unique characteristics of rural and urban jails and how to tailor interventions based on their needs is critical. In future studies, researchers using CBPR methods may reveal unique worker characteristics and workplace stressors for evidence-informed occupational therapy interventions to address workplace health.