Tri Cities Rehabilitation and Healthcare Center
19101 Us Highway 119 North, Cumberland, KY 40823 · Harlan County · 85 certified beds · avg 63 residents/day · certified since Mar 6, 1997
Part of chain: VENZA CARE MANAGEMENT (25 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: 2/5
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.
All citations in the current public record (15)
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 |
|---|---|---|
| Feb 12, 2026 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 12, 2026 | 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. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | 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. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2024 | 11 | 0 | F |
| 2026 | 3 | 0 | E |
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)
1 fine totaling $5,346.
| Date | Type | Amount / length |
|---|---|---|
| Oct 10, 2024 | Fine | $5,346 |
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) | 3.39 | 3.71 | 3.95 | top 48% in Kentucky; bottom 31% in the U.S. |
| Registered Nurse hours | 0.64 | 0.74 | 0.69 | top 50% in Kentucky; top 43% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.27 | 3.50 | top 40% in Kentucky; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.53 | 0.48 | top 32% in Kentucky; top 27% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 46.4 | 45.8 | top 37% in Kentucky; top 40% in the U.S. |
| RN turnover (%) | 10.0 | 41.8 | 42.9 | top 2% in Kentucky; top 4% 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 3.75, RN 0.71, weekend 3.45. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CH Commonwealth Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Commonwealth SNF Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | — | 09/04/2025 |
| CW Commonwealth Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Ky SNF Associates LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Ky SNF Associates Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Ky SNF Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Ky SNF Holdings Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Ms Commonwealth Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | — | 09/04/2025 |
| Ms Commonwealth Propco Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Oakwood Investment Management LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/04/2025 |
| SS Commonwealth Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/04/2025 |
| Strulovics, Joel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/04/2025 |
| CH Commonwealth Propco Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Cibc Bank USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/04/2025 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Commonwealth SNF Realty Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Commonwealth SNF Realty Holdings Parent LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Computershare Corporate Trust Company, Na | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/04/2025 |
| Computershare Corporate Trust Company, Na | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| CW Commonwealth Propco Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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 | 15.0 mi | Pennington Gap, VA | ★★★★★ | 5/5 | |
| Letcher Manor | 15.8 mi | Whitesburg, KY | ★★☆☆☆ | 3/5 | |
| Heritage Hall Big Stone Gap | 16.4 mi | Big Stone Gap, VA | ★★★★☆ | 3/5 | |
| Harlan Health and Rehabilitation Center | 19.1 mi | Harlan, KY | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185433.