Harlan County, Kentucky · Nursing home
Harlan Health and Rehabilitation Center
1 of 5 overall from CMS
200 Medical Center Drive, Harlan, KY 40831
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 4.19 hours Above the state average of 3.95
- Nursing staff who left in a year 45.7% Below the state average of 46.4%
- Health citations, last 3 inspection cycles 11 3 at the harm level or above
- Fines in 3 years $10,868 2 fines
- Certified beds in use 82.9% of 143 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Harlan Health and Rehabilitation Center is a 143-bed nursing home in Harlan, Kentucky (Harlan County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.19 nurse staffing hours per resident per day, above the Kentucky average of 3.95. CMS lists 2 fines totaling $10,868 in the past three years.
- Certified beds
- 143
- Residents per day (average)
- 118.6
- Certified since
- 1981 (45 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Seky Holding Co. (9 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Harlan Health and Rehabilitation Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $10,868 in the past three years. What changed after the most recent one?Penalties in CMS data
- Registered nurse time is 0.71 hours per resident per day; the Kentucky average is 0.79. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Kentucky average 3.0
- Health inspections 2 of 5 Kentucky average 3.0
- Staffing 4 of 5 Kentucky average 2.7
- Quality measures 1 of 5 Kentucky average 3.2
The vertical line marks the Kentucky average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.19 h Kentucky average 3.95
- Nurse aides 2.90 h Kentucky average 2.36
- Licensed practical nurses 0.58 h Kentucky average 0.80
- Registered nurses 0.71 h Kentucky average 0.79
- All staff, weekends 3.86 h Kentucky average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Kentucky average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover45.7%
- Kentucky average46.4%
- Registered nurse turnover34.8%
- Kentucky average41.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kentucky and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.9% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 11.2% | 6.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.2% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 9.7% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.9% | 29.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 8.1% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% | 19.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 18.6% | 16.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.83 | 1.94 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.27 | 2.14 | 1.78 |
Short-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 7.1% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% | 83.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.1% | 24.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.5% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 21, 2025: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 27, 2026 | 1 | 4 |
| Mar 21, 2025 | 7 | 1 |
| Apr 15, 2021 | 3 | 0 |
Kentucky homes averaged 2.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 15, 2026)
-
GActual harm, isolated
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 · Deficient, Provider has date of correction (Apr 30, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2025)
-
GActual harm, isolated
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2025)
-
FPotential for more than minimal harm, widespread
Have enough backup water supply for essential areas of the nursing home.
Environmental · Deficient, Provider has date of correction (Apr 30, 2025)
Show 6 more
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Apr 30, 2025)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 30, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 30, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 23, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Apr 30, 2021)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 21, 2025 | Fine | $5,434 |
| Mar 21, 2025 | Fine | $5,434 |
| Mar 21, 2025 | Payment Denial | 11 days |
Kentucky homes averaged 0.7 fines and $15,373 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kentucky
- Size28 of 267 by certified beds
- Kentucky average residents per day81.9
- ChainSeky Holding Co.
- Chain average overall rating2.6 of 5
- Resident or family councilResident
- Homes in Harlan County2
Common questions
What is the CMS star rating for Harlan Health and Rehabilitation Center?
Harlan Health and Rehabilitation Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 1.
How many beds does Harlan Health and Rehabilitation Center have?
Harlan Health and Rehabilitation Center has 143 certified beds. It averages 118.6 residents per day, about 82.9% of its certified beds.
How much nursing care do residents get at Harlan Health and Rehabilitation Center?
The home reports 4.19 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.
Has Harlan Health and Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $10,868 in the past three years. It also lists 1 payment denial.
Does Harlan Health and Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Lee Health And Rehab Center 110beds 97.1%in use 3.47nurse hours a day
- 1 of 5 Tri Cities Rehabilitation and Healthcare Center 85beds 74.4%in use 3.75nurse hours a day
- 4 of 5 Hancock Manor Nursing Home 50beds 53.2%in use 4.13nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Harlan County
Who to call in Kentucky
These offices serve residents of every nursing home in Kentucky.
- Long-term care ombudsman Kentucky Long-Term Care Ombudsman Program (statewide hotline) 800-372-2991 (Toll-free state hotline. Local district ombudsman programs have their own numbers (listed on the same page).) An advocate for residents and their families.
- File a complaint about a nursing home Office of Inspector General (OIG), Division of Health Care - state survey agency 502-564-7963 (Division of Health Care central office. OIG's complaint sheet directs complaints to the Complaint Coordinator in the appropriate regional branch (OIG's Regional Map shows which branch covers each area): Northern (Louisville) 502-595-4958; Eastern (Lexington) 859-246-2301; Southern (London) 606-330-2030; Western (Hopkinsville) 270-889-6052.) The state agency that inspects nursing homes.
Kentucky staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185166. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.