Tennessee › Claiborne County › Harrogate
Tri State Health and Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 37752
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Tri State Health and Rehabilitation Center is a For-profit, corporation nursing home in Harrogate, Tennessee, certified for 116 beds and caring for about 101 residents a day.
CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (4, 10, 1 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 12.9 per 100 beds, about the same as the state median of 12.2.
CMS lists 2 penalties in the period covered: fines totalling $15K.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Tennessee median of 3.6; nursing staff turnover is 38.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Claiborne Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 15 | 13 | 28.7 |
| Citations per 100 beds | 12.9 | 12.9 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.8 | 0.5 | 0.7 |
| Nursing staff turnover | 38.5% | 38.5% | 50.0% | 45.8% |
| Fines listed | $14,852 | $8,021 | $0 | — |
County and state figures are medians across facilities (3 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Dec 2025, 16 Aug 2023.
Severity mix: K ×5 D ×8 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Dec 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 21 Nov 2025 |
| 17 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Jan 2026 |
| 17 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Jan 2026 |
| 17 Dec 2025 | 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. | D | Standard survey | 24 Jan 2026 |
| 26 Sep 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0726 | 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. | K | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0837 | 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. | K | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | K | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 19 Oct 2024 |
| 26 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Oct 2024 |
| 16 Aug 2023 | F0693 | 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. | D | Standard survey | 16 Sep 2023 |
| 16 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 28 Aug 2023 |
| 10 Dec 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Dec 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Sep 2024 | Fine | $7,426 | |
| 26 Sep 2024 | Fine | $7,426 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 38.5%, RNs 38.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.7% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.7% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.2% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Raven Lake Healthcare Inc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rocky Top Healthcare LLC | 5% or greater direct ownership interest | 100% | 10/17/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Claiborne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Claiborne Health and Rehabilitation Center | Tazewell | 100 | 3 | 3 | 4 | 11 | 11.0 | — | 20 Nov 2025 |
| Buchanan Place | New Tazewell | 134 | 2 | 2 | 3 | 18 | 13.4 | $8K | 24 Jun 2026 |
All 3 facilities in Claiborne County
Questions and answers
How many deficiencies has Tri State Health and Rehabilitation Center been cited for?
15 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Tri State Health and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $15K in the period covered.
How does staffing at Tri State Health and Rehabilitation Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Tri State Health and Rehabilitation Center?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Rocky Top Healthcare LLC. Individual owners and managers are not listed on this site.
When was Tri State Health and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Dec 2025; the most recent standard health survey was 17 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.