Harlan Health and Rehabilitation Center
200 Medical Center Drive · Harlan, KY · 40831 · 6065737250
143 certified beds For profit - Corporation Chain: Seky Holding Co.
Why this verdict
- Federal penalties on record: $10,868 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.99 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 2 · $10,868 |
Inspection citations (12 in the current record)
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Actual harm · G March 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 21, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 30, 2025 · Quality of Life and Care
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Actual harm · G March 21, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D March 21, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · D March 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · F March 21, 2025
Have enough backup water supply for essential areas of the nursing home.
Corrected April 30, 2025 · Environmental
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Potential for harm · D January 24, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · E April 15, 2021
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.
Corrected April 30, 2021 · Pharmacy Service
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Potential for harm · E March 14, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 12, 2019 · Resident Assessment and Care Planning
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Potential for harm · E March 14, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 12, 2019 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 21, 2025 | Fine | $5,434 |
| March 21, 2025 | Fine | $5,434 |
| March 21, 2025 | Payment Denial | 11 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185166 · certified since November 2, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.