Harlan Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 200 Medical Center Drive, Harlan, KY 40831
- CCN
- 185166
- Ownership type
- For-profit, corporation
- Certified beds
- 143
- Chain
- SEKY Holding Co.
- Residents per day
- 119
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Harlan Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 21 Mar 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Kentucky is 2. CMS lists 2 fines with a total of $10,868 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Harlan County median | Kentucky median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 267 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kentucky median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Mar 2025 | 7 | 2 |
| Cycle 2 | 15 Apr 2021 | 1 | 3 |
| Cycle 3 | No date | 4 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 30 Apr 2025 |
| 21 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard survey | 30 Apr 2025 |
| 21 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 30 Apr 2025 |
| 21 Mar 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | G | Standard survey | 30 Apr 2025 |
| 21 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 30 Apr 2025 |
| 21 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 30 Apr 2025 |
| 21 Mar 2025 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard survey | 30 Apr 2025 |
Survey cycle 2: 1 citation
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Apr 2021 | F0761 | 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. | E | Standard survey | 30 Apr 2021 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 23 Feb 2024 |
| 24 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Feb 2024 |
| 14 Mar 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Apr 2019 |
| 14 Mar 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Apr 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 21 Mar 2025 | Fine | $5,434 | |
| 21 Mar 2025 | Fine | $5,434 | |
| 21 Mar 2025 | Payment denial | 11 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kentucky median | Kentucky average (CMS) |
|---|---|---|---|
| All nurse staff | 4.19 | 3.70 | 3.95 |
| Registered nurses (RN) | 0.71 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.58 | 0.80 | |
| Nurse aides | 2.90 | 2.36 | |
| All nurse staff, weekends | 3.86 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 45.7%
- Nurse staff turnover, Kentucky median
- 45.1%
- RN turnover in a year
- 34.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kentucky median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.9% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.7% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.1% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 15.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Harlan Nursing Home, Inc.
- Chain
- SEKY Holding Co. (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| SEKY Holding Co | 5% or greater direct ownership interest | 100% | 18 Jun 2003 |
| FCLTC Holdings Inc | 5% or greater indirect ownership interest | 28 Apr 2016 |
The site shows organisations only. It does not show the names of persons.
Other homes in Harlan County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Tri Cities Rehabilitation and Healthcare Center | Cumberland | 2 of 5 | 3 | $5,346 | 12 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Harlan Health and Rehabilitation Center (CCN 185166). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/harlan-health-and-rehabilitation-center-harlan-ky-185166/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Harlan Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 21 Mar 2025. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 15 Apr 2021.
- Who operates Harlan Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain SEKY Holding Co. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Harlan Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kentucky as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.