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Tri State Health and Rehabilitation Center

All states › Tennessee › Harrogate › Tri State Health and Rehabilitation Center

600 Shawanee Rd Harrogate, TN 37752 · Claiborne County

(423) 869-5376

Accepts Medicare Accepts Medicaid 116 certified beds For profit

CMS certification number 445263 · 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 Tri State 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 Tri State Health and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Tennessee average of 3.1. Inspectors issued 15 citations in the last three years. CMS imposed 2 penalties, including $14,852 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.55 hours per resident per day at Tri State Health and Rehabilitation Center, below the Tennessee median of 3.66 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 15% below its all-week average. 40.7% of nursing staff left within a year (Tennessee median 48.7%).

Nursing care per resident per day 3.55 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.78 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.03 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 40.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 38.9% 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 beds116
Residents per day 95 About 82% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1991
Part of a chainThe Ensign Group
Legal business nameRAVEN LAKE HEALTHCARE INC

Paying for care at Tri State Health and Rehabilitation Center: Medicare and Medicaid

Tri State 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 Tennessee'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 December 17, 2025 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 15 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 15 citations at Tri State Health and Rehabilitation Center across 4 inspection dates, 9 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 26, 2024 (complaint inspection). The most common areas cited were quality of life and care (5) and administration (3). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level K, September 26, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

December 17, 2025 · 4 citations · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Nov 21, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jan 24, 2026)

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 · Deficient, Provider has date of correction (Jan 24, 2026)

DEnsure 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 (Jan 24, 2026)

September 26, 2024 · 8 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0678 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

KEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

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

Immediate jeopardy · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

KEstablish 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.

Immediate jeopardy · Administration Deficiencies · Tag F0837 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

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

Immediate jeopardy · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

EDevelop 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 (Oct 19, 2024)

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2024)

August 16, 2023 · 2 citations

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Sep 16, 2023)

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 (Aug 28, 2023)

December 10, 2019 · 1 citation

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 10, 2019)

Questions to ask on a tour of Tri State Health and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on September 26, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on December 17, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

2 penalties in the last three years, including $14,852 in fines.

DateTypeAmount or length
Sep 26, 2024 Fine $7,426
Sep 26, 2024 Fine $7,426

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 3/5 3/5
August 2026 1/5 1/5 2/5 3/5
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Location

Hospitals near Tri State 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

Buchanan Place New Tazewell · 9.5 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 134 beds · Medicaid
Claiborne Health and Rehabilitation Center Tazewell · 9.5 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 100 beds · Medicaid
Ridgeview Terrace of Life Care Rutledge · 22.0 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 132 beds · Medicaid
Willow Ridge Center Maynardville · 23.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 77 beds · Medicaid
Hancock Manor Nursing Home Sneedville · 23.8 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 50 beds · Medicaid

More nursing homes near Tri State Health and Rehabilitation Center ›   All nursing homes in Harrogate ›

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Other The Ensign Group nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group 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/tennessee/harrogate/tri-state-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.