Tri State Health and Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 37752
Tri State Health and Rehabilitation Center, a 116-bed for profit - corporation nursing facility in Harrogate, TN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #268 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 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: 4238695376
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #268 of 300
- In-state rank among rated TN homes
- 3.44
- Below average · nurse hrs/day · nat'l 3.86
- 15
- Inspection findings · 5 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Tri State Health and Rehabilitation Center, a 116-bed for profit - corporation nursing facility in Harrogate, TN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #268 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #268 of 300
- In-state rank among rated TN homes
- 3.44
- Nurse hrs/resident-day · national 3.86
- 15
- Inspection findings · 5 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 303 TN 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
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 445263
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 116
- Residents
- 101
- In Hospital
- No
- County
- Claiborne
- Last Inspection
- Dec 17, 2025
Staffing Data
How the 3.44 total nursing hours per resident-day are staffed:
- RN Hours
- 0.73 (nat'l avg: 0.69)
- LPN Hours
- 0.76
- CNA Hours
- 1.95
- Total Nursing Hours
- 3.44 (nat'l avg: 3.86)
- PT Hours
- 0.04
- Nursing Turnover
- 38.5%
- RN Turnover
- 38.9%
What the CMS Record Reveals About Tri State Health and Rehabilitation Center
According to CMS Nursing Home Compare, Tri State Health and Rehabilitation Center ranks #268 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Tri State Health and Rehabilitation Center operates 116 certified beds in Harrogate, TN with approximately 101 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 3★).
The inspection file contains 15 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $15K levied against this facility. Reported nurse staffing runs 3.44 total hours per resident day (national average 3.86); RN hours specifically are 0.73 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Tri State Health and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 38.5% (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 (15 most recent)
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: Jan 24, 2026
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: Jan 24, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 24, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 21, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 19, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 19, 2024
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: Oct 19, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Oct 19, 2024
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.
Category: Administration Deficiencies
Corrected: Oct 19, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Oct 19, 2024
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 19, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 19, 2024
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: Aug 28, 2023
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.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 16, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 10, 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 | 9.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 16.2% | 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 | 41.4% | 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 | 26.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
Penalty History 2 penalties totaling $15K
| Date | Type | Amount |
|---|---|---|
| Sep 26, 2024 | Fine | $7K |
| Sep 26, 2024 | Fine | $7K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Tri State Health and Rehabilitation Center, both outside TN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside TN (116 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside TN (3.05 here).
Nearby Nursing Homes in TN
302 other nursing homes are on record in TN; 6 are shown here.
Abundant Christian Living Community Rehabilitation
Johnson City, TN
Adamsplace, LLC
Murfreesboro, TN
Adamsville Healthcare and Rehabilitation Center
Adamsville, TN
Advanced Health Care of Nashville
Nashville, TN
Agape Rehabilitation & Nursing Center, a Waters Cm
Johnson City, TN
Ahava Healthcare of Clarksville
Clarksville, TN
Understanding Nursing Home Data
What the CMS records show for Tri State 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 TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
- Peer homes near 116 beds show how CMS stars vary at a similar scale in TN. 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 Tri State Health and Rehabilitation Center?
Where does Tri State Health and Rehabilitation Center rank among nursing homes in TN?
What are the staffing levels at Tri State Health and Rehabilitation Center?
How many beds does Tri State Health and Rehabilitation Center have?
Does Tri State Health and Rehabilitation Center have any deficiencies on record?
Has Tri State Health and Rehabilitation Center received any fines or penalties?
Who owns Tri State Health and Rehabilitation Center?
When was Tri State Health and Rehabilitation Center last inspected?
What quality measures are tracked for Tri State Health and Rehabilitation Center?
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.
Read our methodology - how this data is sourced, computed, and verified.
