PlainNursing
CMS Nursing Home Compare · August 2026

Harlan Health and Rehabilitation Center

200 Medical Center Drive, Harlan, KY 40831

Harlan Health and Rehabilitation Center, a 143-bed for profit - corporation nursing facility in Harlan, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #221 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6065737250

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1 / 5
Much below average · CMS overall · nat'l 3.0
#221 of 265
In-state rank among rated KY homes
4.19
Above average · nurse hrs/day · nat'l 3.86
12
Inspection findings · 3 serious

The verdict

Harlan Health and Rehabilitation Center, a 143-bed for profit - corporation nursing facility in Harlan, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #221 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#221 of 265
In-state rank among rated KY homes
4.19
Nurse hrs/resident-day · national 3.86
12
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 267 KY nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

1/5

Long-Stay Quality

2/5

Facility Information

Provider Number
185166
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
143
Residents
119
In Hospital
No
County
Harlan
Last Inspection
Mar 21, 2025

Staffing Data

How the 4.19 total nursing hours per resident-day are staffed:

RN Hours
0.71 (nat'l avg: 0.69)
LPN Hours
0.58
CNA Hours
2.90
Total Nursing Hours
4.19 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
45.7%
RN Turnover
34.8%

What the CMS Record Reveals About Harlan Health and Rehabilitation Center

According to CMS Nursing Home Compare, Harlan Health and Rehabilitation Center ranks #221 of 265 rated nursing homes in KY on overall stars (tie-broken by health+staffing+quality, then fewer fines). Harlan Health and Rehabilitation Center operates 143 certified beds in Harlan, KY with approximately 119 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 4★ · quality 1★).

The inspection file contains 12 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $11K. Per resident day, this facility reports 4.19 total nursing hours (national average 3.86) and 0.71 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Harlan Health and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

D - Isolated - Minimal harm Mar 21, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Mar 21, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Mar 21, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Apr 30, 2025

F - Widespread - Minimal harm Mar 21, 2025 Tag: 0922

Have enough backup water supply for essential areas of the nursing home.

Category: Environmental Deficiencies

Corrected: Apr 30, 2025

G - Isolated - Actual harm Mar 21, 2025 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2025

G - Isolated - Actual harm Mar 21, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2025

G - Isolated - Actual harm Mar 21, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Jan 24, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 23, 2024

D - Isolated - Minimal harm Jan 24, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 23, 2024

E - Pattern - Minimal harm Apr 15, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 30, 2021

E - Pattern - Minimal harm Mar 14, 2019 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 12, 2019

E - Pattern - Minimal harm Mar 14, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 12, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 7.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 41.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.7% No

Penalty History 2 penalties totaling $11K

Date Type Amount
Mar 21, 2025 Fine $5K
Mar 21, 2025 Fine $5K
Mar 21, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Harlan Health and Rehabilitation Center, both outside KY so the neighborhoods are not the same-state geography list below.

What the CMS records show for Harlan Health and Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The KY registry aggregates state averages and the highest-rated homes in this cohort. View KY registry
  • Peer homes near 143 beds show how CMS stars vary at a similar scale in KY. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Harlan Health and Rehabilitation Center?
Harlan Health and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (1★).
Where does Harlan Health and Rehabilitation Center rank among nursing homes in KY?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Harlan Health and Rehabilitation Center ranks 221st among 265 rated nursing homes in KY (#221 of 265). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Harlan Health and Rehabilitation Center?
Harlan Health and Rehabilitation Center reports 4.19 total nursing hours per resident day (national average: 3.86). RN hours are 0.71 per resident day (national average: 0.69). Nursing staff turnover is 45.7%.
How many beds does Harlan Health and Rehabilitation Center have?
Harlan Health and Rehabilitation Center has 143 certified beds with approximately 119 residents. The facility is located at 200 Medical Center Drive, Harlan, KY 40831.
Does Harlan Health and Rehabilitation Center have any deficiencies on record?
Yes, Harlan Health and Rehabilitation Center has 12 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Harlan Health and Rehabilitation Center received any fines or penalties?
Yes, Harlan Health and Rehabilitation Center has received 2 penalties totaling $11K.
Who owns Harlan Health and Rehabilitation Center?
Harlan Health and Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Harlan Health and Rehabilitation Center last inspected?
The most recent health inspection for Harlan Health and Rehabilitation Center was on Mar 21, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Harlan Health and Rehabilitation Center?
Harlan Health and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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