Harlan Health and Rehabilitation Center
200 Medical Center Drive, Harlan, KY 40831 · Harlan County · 143 certified beds · avg 119 residents/day · certified since Nov 2, 1981
Part of chain: SEKY HOLDING CO. (9 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 21, 2025 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 30, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 21, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 30, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 21, 2025 · F-0790
The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Why it matters: Untreated dental problems cause pain, make eating difficult, and can lead to infections and weight loss.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 30, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 21, 2025 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 21, 2025 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 21, 2025 | ▲ G · Actual harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Mar 21, 2025 | F · Potential for harm, facility-wide | The facility did not have enough backup water supply for essential areas of the building. |
| Mar 21, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Mar 21, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 21, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 24, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 24, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 15, 2021 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 14, 2019 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 14, 2019 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | E |
| 2021 | 1 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 7 | 3 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $10,868, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 21, 2025 | Fine | $5,434 |
| Mar 21, 2025 | Fine | $5,434 |
| Mar 21, 2025 | Payment Denial | 11 days from Apr 19, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.10 | 3.71 | 3.95 | top 19% in Kentucky; top 36% in the U.S. |
| Registered Nurse hours | 0.70 | 0.74 | 0.69 | top 39% in Kentucky; top 37% in the U.S. |
| Weekend total nurse staffing | 3.79 | 3.27 | 3.50 | top 18% in Kentucky; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.53 | 0.48 | top 44% in Kentucky; top 36% in the U.S. |
| Total nursing staff turnover (%) | 45.7 | 46.4 | 45.8 | bottom 49% in Kentucky; bottom 48% in the U.S. |
| RN turnover (%) | 34.8 | 41.8 | 42.9 | top 40% in Kentucky; top 38% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.19, RN 0.71, weekend 3.86. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| FCLTC Holdings INC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/28/2016 |
| Forcht, Terry | Individual | 5% or Greater Indirect Ownership Interest | — | 06/18/2003 |
| Seky Holding Co | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/18/2003 |
| Alsip, Roger | Individual | Corporate Director | NOT APPLICABLE | 08/06/2018 |
| Alsip, Roger | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Arnold, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Dahhan, Abdulkader | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/01/1991 |
| Dailey, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2018 |
| Hensley, Sharon | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/08/2005 |
| Hensley, Sharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/08/2005 |
| Tipton, Wesley | Individual | Corporate Director | NOT APPLICABLE | 06/20/2016 |
| Tipton, Wesley | Individual | Corporate Officer | NOT APPLICABLE | 05/16/2018 |
| Willis, Jackie | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Witt, David | Individual | Corporate Director | NOT APPLICABLE | 08/06/2018 |
| Witt, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
- "If the water supply is interrupted, how do you keep residents supplied with drinking water and sanitation?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lee Health and Rehab Center | 15.1 mi | Pennington Gap, VA | ★★★★★ | 5/5 | |
| Tri Cities Rehabilitation and Healthcare Center | 19.1 mi | Cumberland, KY | ★★☆☆☆ | 2/5 | |
| Hancock Manor Nursing Home | 19.9 mi | Sneedville, TN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185166.