Claiborne County, Tennessee · Nursing home
Tri State Health and Rehabilitation Center
1 of 5 overall from CMS
600 Shawanee Rd, Harrogate, TN 37752
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.44 hours Below the state average of 3.80
- Nursing staff who left in a year 38.5% Below the state average of 48.9%
- Health citations, last 3 inspection cycles 15 5 at the harm level or above
- Fines in 3 years $14,852 2 fines
- Certified beds in use 87.3% of 116 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.
Tri State Health and Rehabilitation Center is a 116-bed nursing home in Harrogate, Tennessee (Claiborne County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.44 nurse staffing hours per resident per day, below the Tennessee average of 3.80. CMS lists 2 fines totaling $14,852 in the past three years.
- Certified beds
- 116
- Residents per day (average)
- 101.3
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Ensign Group (344 homes)CMS abuse citation icon: Yes
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.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Tri State Health and Rehabilitation Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $14,852 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 2.92 hours per resident on weekends against 3.44 overall. Who covers Saturdays and Sundays?Weekend 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 Tennessee average 3.0
- Health inspections 1 of 5 Tennessee average 3.0
- Staffing 2 of 5 Tennessee average 2.5
- Quality measures 3 of 5 Tennessee average 3.6
The vertical line marks the Tennessee 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 3.44 h Tennessee average 3.80
- Nurse aides 1.95 h Tennessee average 2.12
- Licensed practical nurses 0.76 h Tennessee average 1.09
- Registered nurses 0.73 h Tennessee average 0.60
- All staff, weekends 2.92 h Tennessee average 3.31
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Tennessee average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover38.5%
- Tennessee average48.9%
- Registered nurse turnover38.9%
- Tennessee average43.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Tennessee 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 | Tennessee | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 9.7% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.9% | 6.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 16.2% | 13.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 89.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 19.7% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.4% | 31.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.7% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.8% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.2% | 16.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.41 | 1.67 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.64 | 1.56 | 1.78 |
Short-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 79.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 79.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.3% | 22.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 17.0% | 11.2% | 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 15 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level; the rest were graded as no actual harm. 9 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 26, 2024: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Dec 17, 2025 | 4 | 4 |
| Aug 16, 2023 | 10 | 3 |
| Dec 10, 2019 | 1 | 1 |
Tennessee homes averaged 4.4 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 (15)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Nov 21, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 24, 2026)
-
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.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 24, 2026)
-
DPotential for more than minimal harm, isolated
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 (Jan 24, 2026)
-
KImmediate jeopardy, pattern
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 19, 2024)
Show 10 more
-
KImmediate jeopardy, pattern
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 19, 2024)
-
KImmediate jeopardy, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 19, 2024)
-
KImmediate jeopardy, pattern
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 19, 2024)
-
KImmediate jeopardy, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 19, 2024)
-
EPotential for more than minimal harm, pattern
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 (Oct 19, 2024)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 19, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 19, 2024)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 16, 2023)
-
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 (Aug 28, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2019)
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 |
|---|---|---|
| Sep 26, 2024 | Fine | $7,426 |
| Sep 26, 2024 | Fine | $7,426 |
Tennessee homes averaged 0.5 fines and $22,907 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 Tennessee
- Size142 of 303 by certified beds
- Tennessee average residents per day84.0
- ChainThe Ensign Group
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Claiborne County3
Common questions
What is the CMS star rating for Tri State Health and Rehabilitation Center?
Tri State Health and Rehabilitation Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 3.
How many beds does Tri State Health and Rehabilitation Center have?
Tri State Health and Rehabilitation Center has 116 certified beds. It averages 101.3 residents per day, about 87.3% of its certified beds.
How much nursing care do residents get at Tri State Health and Rehabilitation Center?
The home reports 3.44 hours of nurse staffing per resident per day, including 0.73 hours from registered nurses. The Tennessee average is 3.80 hours and 0.60 hours from registered nurses.
Has Tri State Health and Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $14,852 in the past three years.
Does Tri State 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 Middlesboro Nursing and Rehabilitation Facility 95beds 96.3%in use 3.94nurse hours a day
- 2 of 5 Buchanan Place 134beds 60.8%in use 3.65nurse hours a day
- 3 of 5 Claiborne Health and Rehabilitation Center 100beds 64.4%in use 4.35nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Claiborne County
Who to call in Tennessee
These offices serve residents of every nursing home in Tennessee.
- Long-term care ombudsman Tennessee Long-Term Care Ombudsman Program 877-236-0013 (Toll-free; routes callers to the District Ombudsman program for their area. State office: 615-253-5412.) An advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Commission complaint intake (Division of Licensure and Regulation) 1-877-287-0010 (Toll-free; Monday through Friday, 8:00 a.m. - 4:30 p.m. Complaints can also be filed through the Commission's online Public Records & Complaints Portal.) The state agency that inspects nursing homes.
Tennessee 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 445263. 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.