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.
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.
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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.
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INSPECTION
Health inspection found 2 health deficiencies.
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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 · 2.6 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.