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Nursing home report

Harlan Health and Rehabilitation Center

Harlan, KY · Medicare-certified · 143 beds

Needs attention
For-profitChain member
1 of 5 overall

Harlan Health and Rehabilitation Center in Harlan, KY has a 1 out of 5 overall rating, with low quality measures and moderate health inspection results but stronger staffing at 4.27 hours per resident per day, slightly above the 4.1 federal benchmark. It also has recent fines totaling $10,868 and a recent federal penalty, with recent inspection concerns about care planning, food/fluids, and dental care.

Facility ratings

Health inspections

Staffing

4.2708 hrs/resident/day

Quality measures

Last inspection: March 21, 2025Penalties, last 24 months: $10,868recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2708.

Staffing detail

Registered nurses
0.79
Licensed practical nurses
0.56
Nurse aides
2.92
Weekend nursing
3.99

Hours per resident per day.

Total staff turnover: 49%
Registered nurse turnover: 33%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

19.2%Steady

Residents with a fall causing major injury

4.2%Worsening

Residents with pressure ulcers (bedsores)

9.1%Improving

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

11.3%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

10.7%Worsening

Residents whose ability to walk got worse

7.9%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

42.1%Worsening

Short-stay residents newly given an antipsychotic

9.2%Improving

Residents with a long-term catheter

1.3%Improving

Residents with new or worsening incontinence

13.9%Worsening

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

92.7%Steady

Short-stay residents given the pneumonia vaccine

96.5%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G

The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

The nursing home failed to ensure residents had routine and emergency dental care available when needed. Cited March 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 790 — 42 CFR §483.55 — S/S: G

The nursing home failed to ensure enough backup water supply for essential areas of the home. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 922 — 42 CFR §483.90 — S/S: F

The home failed to properly label and securely store medications and biologicals. Cited April 2021 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal payment denial was recorded.

  3. PENALTY

    A federal fine of $5,434 was recorded.

  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $10,868 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Mar 21, 2025

    11 days
  • Federal fine

    Mar 21, 2025

    $5,434

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of SEKY HOLDING CO. · 9 homes · 2.6 stars avg
Occupancy
116.8 residents on an average day (82% of 143 beds)
Resident voice
Resident council
Medicare history
Certified for 44 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.