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Nursing home report

Tri-State Health & Rehabilitation Center

Registered name: TRI STATE HEALTH AND REHABILITATION CENTER

HARROGATE, TN · Medicare-certified · 116 beds

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

Tri-State Health & Rehabilitation Center in Harrogate, TN has a 1-star overall rating, with 1-star health inspections, 2-star staffing, and 3-star quality measures. It reported nurse staffing below the federal benchmark (3.44 vs 4.1 hours per resident per day), $14,852 in fines over the last 24 months, and a recent abuse citation.

Facility ratings

Health inspections

Staffing

3.4394 hrs/resident/day

Quality measures

Last inspection: December 17, 2025Penalties, last 24 months: $14,852recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4394.

Staffing detail

Registered nurses
0.73
Licensed practical nurses
0.76
Nurse aides
1.95
Weekend nursing
2.92

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 39%

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

14.6%10.5%Improving

Residents with a fall causing major injury

4.4%1.3%Improving

Residents with pressure ulcers (bedsores)

2.3%7%Worsening

Residents with a urinary tract infection

1.5%0%Improving

Residents who lost too much weight

0%7.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

9.5%9.6%No change

Residents whose ability to walk got worse

19.7%

Long-stay residents on antianxiety or sleep medication

39%37.7%Improving

Short-stay residents newly given an antipsychotic

1.1%1.2%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

30.3%28.3%Improving

Residents with depressive symptoms

8.1%21.1%Worsening

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

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: K

The home failed to run its operations effectively and efficiently using its available resources. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: K

The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 837 — 42 CFR §483.70 — S/S: K

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: K

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $7,426 was recorded.

  4. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $14,852 in total fines.

  • Federal fine

    Sep 26, 2024

    $7,426

Operator & ownership

Recent ownership change · Jan 1, 2024

Now operated by Tristate Health and Rehabilitation Center, previously Tri State Heatlh and Rehabilitation Center.

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
101.3 residents on an average day (87% of 116 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.