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Nursing home report

Harlan Health and Rehabilitation Center

Harlan, KY · Medicare-certified · 143 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Harlan Health and Rehabilitation Center in Harlan, KY has an overall rating of 1 out of 5 stars. Its staffing rating is 4 out of 5 stars and reported nurse staffing is slightly above the federal benchmark (4.19 vs. 4.1 hours per resident per day), but it has a recent federal penalty, $10,868 in fines over the last 24 months, a 2-star health inspection rating, and a 1-star quality measures rating.

Facility ratings

Health inspections

Staffing

4.1861 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 4.1861.

Staffing detail

Registered nurses
0.71
Licensed practical nurses
0.58
Nurse aides
2.90
Weekend nursing
3.86

Hours per resident per day.

Total staff turnover: 46%
Registered nurse turnover: 35%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

20%17.6%Improving

Residents with a fall causing major injury

4.1%6.3%Worsening

Residents with pressure ulcers (bedsores)

11.7%8.2%Improving

Residents with a urinary tract infection

0%1%Worsening

Residents who lost too much weight

9.7%8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10.2%16.9%Worsening

Residents whose ability to walk got worse

9.2%12.9%Worsening

Long-stay residents on antianxiety or sleep medication

42.2%39.3%Improving

Short-stay residents newly given an antipsychotic

12%0%Improving

Residents with a long-term catheter

0.6%0%Improving

Residents with new or worsening incontinence

18%6.6%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

92.7%

Short-stay residents given the pneumonia vaccine

97.6%97.9%No change

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 · 2.4 stars avg
Occupancy
118.6 residents on an average day (83% 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.