TRI STATE HEALTH AND REHABILITATION CENTER

600 SHAWANEE RD, HARROGATE, TN 37752 · CCN 445263 · 116 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2024-09-26 — IMMEDIATE JEOPARDY (tag F0835, severity K)

Administration Deficiencies · correction not recorded in CMS data

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2024-09-26 — IMMEDIATE JEOPARDY (tag F0726, severity K)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

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.

2024-09-26 — IMMEDIATE JEOPARDY (tag F0678, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2024-09-26 — IMMEDIATE JEOPARDY (tag F0867, severity K)

Administration Deficiencies · correction not recorded in CMS data

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-09-26 — IMMEDIATE JEOPARDY (tag F0837, severity K)

Administration Deficiencies · correction not recorded in CMS data

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.

Staffing, from payroll records

Nursing hours / resident / day

3.19

state median 3.29

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −8%

RN hours / resident / day

0.48

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

39%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $7,426 in fines.

Date	Type	Amount
2024-09-26	Fine	$7,426

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) — CMS overall2 of 5
Polaris Extended Care (ANCHORAGE, AK) — CMS overall2 of 5
THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) — CMS overall1 of 5
POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) — CMS overall3 of 5
Desert Terrace Healthcare Center (PHOENIX, AZ) — CMS overall3 of 5
PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) — CMS overall2 of 5
CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) — CMS overall3 of 5
MISSION PALMS POST ACUTE (MESA, AZ) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 10 · Immediate jeopardy: 5

Survey date	Tag	Category	Severity	Corrected
2025-12-17	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-12-17	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-12-17	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-12-17	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-09-26	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-26	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-26	F0678	Quality of Life and Care Deficiencies	K	not recorded
2024-09-26	F0726	Nursing and Physician Services Deficiencies	K	not recorded
2024-09-26	F0835	Administration Deficiencies	K	not recorded
2024-09-26	F0837	Administration Deficiencies	K	not recorded
2024-09-26	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-26	F0867	Administration Deficiencies	K	not recorded
2023-08-16	F0693	Quality of Life and Care Deficiencies	D	not recorded
2023-08-16	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2019-12-10	F0695	Quality of Life and Care Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “TRI STATE HEALTH AND REHABILITATION CENTER, HARROGATE” at medicare.gov/care-compare.