Tri State Health and Rehabilitation Center
600 Shawanee Rd · Harrogate, TN · 37752 · 4238695376
116 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 2 · $14,852 |
Inspection citations (15 in the current record)
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Potential for harm · D December 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025
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 January 24, 2026 · Pharmacy Service
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Potential for harm · D December 17, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 26, 2024 · found via 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.
Corrected October 19, 2024 · Quality of Life and Care
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Immediate jeopardy · K September 26, 2024 · found via 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.
Corrected October 19, 2024 · Nursing and Physician Services
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Immediate jeopardy · K September 26, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 19, 2024 · Administration
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Immediate jeopardy · K September 26, 2024 · found via 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.
Corrected October 19, 2024 · Administration
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Immediate jeopardy · K September 26, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 19, 2024 · Administration
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Potential for harm · D September 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 26, 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 October 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 26, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2023
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.
Corrected September 16, 2023 · Quality of Life and Care
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Potential for harm · D August 16, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 28, 2023 · Nutrition and Dietary
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Potential for harm · D December 10, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 10, 2019 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 26, 2024 | Fine | $7,426 |
| September 26, 2024 | Fine | $7,426 |
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 445263 · certified since March 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.