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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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.
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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.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $5,434 was recorded.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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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.