TRI STATE HEALTH AND REHABILITATION CENTER in Harrogate, TN has a 1 out of 5 overall rating, with a 1-star health inspection rating and a recent abuse citation. Staffing is rated 3 stars, reported nurse staffing is 3.79 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $14,852 in fines over the last 24 months.
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 3.7906.
Staffing detail
Registered nurses
0.72
Licensed practical nurses
0.88
Nurse aides
2.19
Weekend nursing
3.28
Hours per resident per day.
Total staff turnover: 37%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
16.7%11.4%Improving
Residents with a fall causing major injury
1.3%0%Improving
Residents with pressure ulcers (bedsores)
3.5%4.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.6%7.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.6%11.3%Improving
Residents whose ability to walk got worse
—23.6%—
Long-stay residents on antianxiety or sleep medication
30.6%47.8%Worsening
Short-stay residents newly given an antipsychotic
1.2%1.2%No change
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
25.9%35.8%Worsening
Residents with depressive symptoms
7.4%23.9%Worsening
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
—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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $7,426 was recorded.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
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
Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
90.7 residents on an average day (78% 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.