# Tri State Health and Rehabilitation Center Tri State Health and Rehabilitation Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Harrogate, TN, CMS Certification Number 445263, with 116 certified beds and about 95 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 3/5, quality measures 3/5). ## Key facts - Status: Active CMS certification - Address: 600 Shawanee Rd, Harrogate, TN 37752 (Claiborne County) - Ownership type: For profit - Corporation - Operator (legal business name): [Raven Lake Healthcare Inc](https://carefield.site/operator/op-raven-lake-healthcare-inc) - CMS chain: [The Ensign Group](https://carefield.site/chain/cms-chain-507) — 347 facilities - Phone: 4238695376 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445263 ## Inspection record 7 inspections in the CMS window (latest 2025-12-17); 23 citations (15 health, 8 fire safety); 0 at actual harm and 5 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2024-09-26 — [F-0678](https://carefield.site/deficiency/cms-f0678) Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey - 2024-09-26 — [F-0726](https://carefield.site/deficiency/cms-f0726) Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey - 2024-09-26 — [F-0835](https://carefield.site/deficiency/cms-f0835) Administer the facility in a manner that enables it to use its resources effectively and efficiently. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey - 2024-09-26 — [F-0837](https://carefield.site/deficiency/cms-f0837) Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey - 2024-09-26 — [F-0867](https://carefield.site/deficiency/cms-f0867) Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey - 2025-12-17 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-12-17 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-12-17 — [K-0521](https://carefield.site/deficiency/cms-k0521) Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-12-17 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-12-17 — [F-0602](https://carefield.site/deficiency/cms-f0602) Protect each resident from the wrongful use of the resident's belongings or money. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey - 2025-12-17 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-12-17 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-12-17 — [F-0761](https://carefield.site/deficiency/cms-f0761) Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-09-26 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-09-26 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-09-26 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2023-08-16 — [K-0363](https://carefield.site/deficiency/cms-k0363) Install corridor and hallway doors that block smoke. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-08-16 — [K-0700](https://carefield.site/deficiency/cms-k0700) Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-08-16 — [K-0754](https://carefield.site/deficiency/cms-k0754) Provide properly sized and located linen or trash receptacles. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-08-16 — [F-0693](https://carefield.site/deficiency/cms-f0693) Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 3 more on the source page. ## Penalties - 2024-09-26 — Civil money penalty (fine): $7,426 - 2024-09-26 — Civil money penalty (fine): $7,426 ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.54992 (state avg 3.81924, US 3.90085) - RN: 0.78232 - Nursing staff turnover: 40.7% ## Owners and managers of record (CMS disclosures) - [Rocky Top Healthcare LLC](https://carefield.site/owner/org-rocky-top-healthcare-llc) — Direct owner, 100%, since 2023-10-17 - Magen Smith — Operational / managerial control, since 2024-01-01 ## Nearby nursing homes - [Middlesboro Nursing and Rehabilitation Facility](https://carefield.site/facility/cms-185240) — 10.8 km, CMS overall 5/5 - [Buchanan Place](https://carefield.site/facility/cms-445156) — 15.3 km, CMS overall 3/5 - [Claiborne Health and Rehabilitation Center](https://carefield.site/facility/cms-445071) — 15.3 km, CMS overall 4/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445263&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445263&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445263&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445263&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445263&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445263&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-445263 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.