nursing home in Harrogate, TN
Tri State Health and Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 37752 · (423) 869-5376
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Tri State Health and Rehabilitation Center at a glance
Tri State Health and Rehabilitation Center is a 116-bed for-profit nursing home in Harrogate, Tennessee (Claiborne County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 3.4 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (December 17, 2025) found 4 health citations. The Tennessee average is 4.4.
Federal regulators fined it 2 times in the past three years, totaling $14,852.
Nursing staff turnover is 38.5% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 116
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- March 21, 1991
- Resident/family council
- Resident
- County
- Claiborne County
- CMS Certification Number
- 445263
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.44 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.73 hrs | 0.60 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.95 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 38.5% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 38.9% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 150.3 | 47.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,852 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 116 | 114 | 107 | |
| Average residents per day | 101 | 84 | 86 | |
| Occupancy | 87.3% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 12.2% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.7% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 19.7% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 16.2% | 13.8% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 41.4% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 26.8% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 89.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 17, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 29, 2025 |
| December 17, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 6, 2026 |
| December 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 2, 2026 |
| December 17, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 17, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 24, 2026 |
| December 17, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected November 21, 2025 |
| December 17, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 24, 2026 |
| December 17, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 24, 2026 |
| September 26, 2024 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | K Immediate jeopardy, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | K Immediate jeopardy, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | K Immediate jeopardy, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | K Immediate jeopardy, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Tag F0837 | K Immediate jeopardy, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected October 19, 2024 |
| September 26, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 19, 2024 |
| August 16, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 12, 2023 |
| August 16, 2023 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | D Potential harm, isolated | Corrected September 12, 2023 |
| August 16, 2023 Fire safety | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Tag K0700 | D Potential harm, isolated | Corrected September 12, 2023 |
| August 16, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 28, 2023 |
| August 16, 2023 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected September 16, 2023 |
| December 10, 2019 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 21, 2020 |
| December 10, 2019 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 10, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $7,426 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 26, 2024 | Fine | $7,426 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ROCKY TOP HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 100% | 10/17/2023 |
| PANNOCCHIA, LUIS Individual | adp of the snf | NOT APPLICABLE | 02/07/2025 |
| SMITH, MAGEN Individual | adp of the snf | NOT APPLICABLE | 02/06/2025 |
| ABBOTT, SWATI Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| AGWUNOBI, JOHN Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| ALBRECHTSEN, TYLER Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| BLOUIN, ANN Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| CHRISTENSEN, CHRISTOPHER Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| PARKINSON, MARK Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| PORT, BARRY Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| SHAW, DAREN Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| SMITH, BARRY Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| SNAPPER, SUZANNE Individual | corporate director | NOT APPLICABLE | 10/17/2023 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 10/17/2023 |
| BURTON, SPENCER Individual | corporate officer | NOT APPLICABLE | 10/17/2023 |
| PORT, BARRY Individual | corporate officer | NOT APPLICABLE | 10/17/2023 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| SNAPPER, SUZANNE Individual | corporate officer | NOT APPLICABLE | 10/17/2023 |
| THATCHER, BRENT Individual | corporate officer | NOT APPLICABLE | 10/17/2023 |
| SMITH, MAGEN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
Other nursing homes near Tri State Health and Rehabilitation Center
Middlesboro Nursing and Rehabilitation Facility
235 New Wilson Lane, Middlesboro, KY 40965 · 6.7 mi
For-profit · 95 beds · Part of Bluegrass Health Ky
★★★★★5Much above averageBuchanan Place
902 Buchanan Rd, New Tazewell, TN 37825 · 9.5 mi
For-profit · 134 beds · Part of Exceptional Living Centers
★★★★★2Below averageClaiborne Health and Rehabilitation Center
1850 Old Knoxville Road, Tazewell, TN 37879 · 9.5 mi
Non-profit · 100 beds
★★★★★3AverageMountain View Rehabilitation and Healthcare Center
39 Ferndale Apartments Road, Pineville, KY 40977 · 12.3 mi
For-profit · 115 beds · Part of Venza Care Management
★★★★★4Above averageRidgeview Terrace of Life Care
165 Coffey Lane PO Box 26, Rutledge, TN 37861 · 22 mi
For-profit · 132 beds · Part of Life Care Centers of America
★★★★★4Above averageWillow Ridge Center
215 Richardson Way, Maynardville, TN 37807 · 23.7 mi
For-profit · 77 beds · Part of Genesis Healthcare
★★★★★2Below average
Frequently asked questions
What is Tri State Health and Rehabilitation Center's rating?
Tri State Health and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Tri State Health and Rehabilitation Center receive?
Its most recent standard health inspection found 4 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Tri State Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Tri State Health and Rehabilitation Center?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Tri State Health and Rehabilitation Center and how do I contact it?
Tri State Health and Rehabilitation Center is at 600 Shawanee Rd, Harrogate, TN 37752. Phone: (423) 869-5376.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.