Kentucky ›Harlan

Harlan Health and Rehabilitation Center

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200 Medical Center Drive, Harlan, KY 40831 (opens Google Maps) · Harlan County · (606) 573-7250· 143 certified beds · avg 119 residents/day · certified since Nov 2, 1981 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: SEKY HOLDING CO. (9 facilities, chain avg rating 2.4★)

2/5
Health inspection rating (on-site)
inspected Mar 21, 2025
3
Serious findings on record
most recent Mar 21, 2025
$10,868
Fines, last 3 years
4.10
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 30, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    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. F-0656

  2. G · Actual harm, isolated

    The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692

  3. G · Actual harm, isolated

    The facility did not provide routine dental care and 24-hour emergency dental care for residents. F-0790

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 21, 2025▲ G · Actual harm, isolatedThe 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. · F-0656
Mar 21, 2025▲ G · Actual harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Mar 21, 2025▲ G · Actual harm, isolatedThe facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790
Mar 21, 2025F · Potential for more than minimal harm, widespreadThe facility did not have enough backup water supply for essential areas of the building. · F-0922
Mar 21, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0582
Mar 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Mar 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 15, 2021E · Potential for more than minimal harm, patternThe 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. · F-0761
Mar 14, 2019E · Potential for more than minimal harm, patternThe 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. · F-0656
Mar 14, 2019E · Potential for more than minimal harm, patternThe 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. · F-0695

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 2
Serious citations (G–L): 0
2021
All citations: 1
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 3

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201920E
202110E
202420D
202573G ▲

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)

How to file a complaint about care →

2 fines totaling $10,868, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Mar 21, 2025Fine$5,434
Mar 21, 2025Fine$5,434
Mar 21, 2025Payment Denial11 days from Apr 19, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityKentucky averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.10
Kentucky average: 3.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.70
Kentucky average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.79
Kentucky average: 3.27
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityKentucky avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.103.713.95top 19% in Kentucky; top 36% in the U.S.
Registered Nurse hours0.700.740.69top 39% in Kentucky; top 37% in the U.S.
Weekend total nurse staffing3.793.273.50top 18% in Kentucky; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)0.480.530.48top 44% in Kentucky; top 36% in the U.S.
Total nursing staff turnover (%)45.746.445.8bottom 49% in Kentucky; bottom 48% in the U.S.
RN turnover (%)34.841.842.9top 40% in Kentucky; top 38% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.19 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Harlan Health and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
FCLTC Holdings INCOrganization5% or Greater Indirect Ownership Interest—04/28/2016
Forcht, TerryIndividual5% or Greater Indirect Ownership Interest—06/18/2003
Seky Holding CoOrganization5% or Greater Direct Ownership Interest100%06/18/2003
Alsip, RogerIndividualCorporate DirectorNOT APPLICABLE08/06/2018
Alsip, RogerIndividualCorporate OfficerNOT APPLICABLE01/01/2011
Arnold, SusanIndividualCorporate DirectorNOT APPLICABLE01/01/2011
Dahhan, AbdulkaderIndividualContracted Managing EmployeeNOT APPLICABLE10/01/1991
Dailey, JohnIndividualOperational/Managerial ControlNOT APPLICABLE05/16/2018
Hensley, SharonIndividualW-2 Managing EmployeeNOT APPLICABLE11/08/2005
Hensley, SharonIndividualOperational/Managerial ControlNOT APPLICABLE11/08/2005
Tipton, WesleyIndividualCorporate DirectorNOT APPLICABLE06/20/2016
Tipton, WesleyIndividualCorporate OfficerNOT APPLICABLE05/16/2018
Willis, JackieIndividualCorporate OfficerNOT APPLICABLE01/01/2011
Witt, DavidIndividualCorporate DirectorNOT APPLICABLE08/06/2018
Witt, DavidIndividualCorporate OfficerNOT APPLICABLE01/01/2011

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Seky Holding Co. — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Lee Health and Rehab Center15.1 miPennington Gap, VA★★★★★5/5
Tri Cities Rehabilitation and Healthcare Center19.1 miCumberland, KY★★☆☆☆2/5
Hancock Manor Nursing Home19.9 miSneedville, TN★★★★☆4/5

Compare this facility with the 3 closest →

All facilities in Harlan →

Facility data as of CMS processing date 2026-08-01. CCN 185166.

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