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Harlan Health and Rehabilitation Center

All states › Kentucky › Harlan › Harlan Health and Rehabilitation Center

200 Medical Center Drive Harlan, KY 40831 · Harlan County

(606) 573-7250

Accepts Medicare Accepts Medicaid 143 certified beds For profit

CMS certification number 185166 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Harlan Health and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harlan Health and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Kentucky average of 3.0. Inspectors issued 11 citations in the last three years. CMS imposed 3 penalties, including $10,868 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 4.37 hours per resident per day at Harlan Health and Rehabilitation Center, above the Kentucky median of 3.75 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 4.04 hours, 8% below its all-week average. 49.3% of nursing staff left within a year (Kentucky median 44.3%).

Nursing care per resident per day 4.37 hours
Above the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.67 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.04 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 49.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 54.2% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds143
Residents per day 112 About 78% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1981
Part of a chainSeky Holding Co.
Legal business nameHARLAN NURSING HOME, INC.

Paying for care at Harlan Health and Rehabilitation Center: Medicare and Medicaid

Harlan Health and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 27, 2026 and found 1 deficiency. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 11 citations at Harlan Health and Rehabilitation Center across 4 inspection dates, 2 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on March 21, 2025. The most common areas cited were quality of life and care (3) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level G, March 21, 2025).

March 27, 2026 · 1 citation

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 15, 2026)

March 21, 2025 · 7 citations, includes actual harm

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

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0790 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0922 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 30, 2025)

January 24, 2024 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Feb 23, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Feb 23, 2024)

April 15, 2021 · 1 citation

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 30, 2021)

Questions to ask on a tour of Harlan Health and Rehabilitation Center

  1. Inspectors cited the home at the actual-harm level on March 21, 2025 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $10,868 in fines.

DateTypeAmount or length
Mar 21, 2025 Fine $5,434
Mar 21, 2025 Fine $5,434
Mar 21, 2025 Payment Denial 11 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 4/5 1/5
August 2026 1/5 2/5 4/5 1/5
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Location

Hospitals near Harlan Health and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Tri Cities Rehabilitation and Healthcare Center Cumberland · 19.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 85 beds · Medicaid
Mountain View Rehabilitation and Healthcare Center Pineville · 21.7 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 115 beds · Medicaid
Hyden Health and Rehabilitation Center Hyden · 23.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 94 beds · Medicaid
Middlesboro Nursing and Rehabilitation Facility Middlesboro · 27.9 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 95 beds · Medicaid
Paul E Patton Eastern KY Veterans Center Hazard · 31.6 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 120 beds · Medicaid

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Other Seky Holding Co. nursing homes in Kentucky

Affiliation comes from CMS's affiliated-entity data, October 2026. All 9 Seky Holding Co. nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/kentucky/harlan/harlan-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.