Tri State Health and Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 37752 · Claiborne County · 116 certified beds · avg 101 residents/day · certified since Mar 21, 1991
Abuse citation flag (CMS)
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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)
▲ Immediate jeopardy, repeated · Sep 26, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 26, 2024 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 26, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 26, 2024 · F-0837 · triggered by a complaint
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 26, 2024 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 17, 2025 | 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. |
| Dec 17, 2025 | D · Potential for harm, one-off | 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. |
| Sep 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Sep 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Sep 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Sep 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint |
| Sep 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Sep 26, 2024 | 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. · from a complaint |
| Sep 26, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 26, 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. · from a complaint |
| Aug 16, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Aug 16, 2023 | 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. |
| Dec 10, 2019 | D · Potential for harm, one-off | 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 (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2023 | 2 | 0 | D |
| 2024 | 8 | 5 | K ▲ |
| 2025 | 4 | 0 | D |
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 $14,852.
| Date | Type | Amount / length |
|---|---|---|
| Sep 26, 2024 | Fine | $7,426 |
| Sep 26, 2024 | Fine | $7,426 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.05 | 3.62 | 3.95 | bottom 19% in Tennessee; bottom 15% in the U.S. |
| Registered Nurse hours | 0.65 | 0.57 | 0.69 | top 29% in Tennessee; top 42% in the U.S. |
| Weekend total nurse staffing | 2.59 | 3.15 | 3.50 | bottom 18% in Tennessee; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.39 | 0.48 | bottom 48% in Tennessee; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 48.9 | 45.8 | top 19% in Tennessee; top 32% in the U.S. |
| RN turnover (%) | 38.9 | 43.2 | 42.9 | top 43% in Tennessee; top 45% 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 3.44, RN 0.73, weekend 2.92. Staffing rating: 2/5.
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: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rocky Top Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/17/2023 |
| Abbott, Swati | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Agwunobi, John | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Albrechtsen, Tyler | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Blouin, Ann | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 10/17/2023 |
| Burton, Spencer | Individual | Corporate Officer | NOT APPLICABLE | 10/17/2023 |
| Christensen, Christopher | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Pannocchia, Luis | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Parkinson, Mark | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Port, Barry | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Port, Barry | Individual | Corporate Officer | NOT APPLICABLE | 10/17/2023 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Shaw, Daren | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Smith, Barry | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Smith, Magen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Smith, Magen | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2025 |
| Snapper, Suzanne | Individual | Corporate Director | NOT APPLICABLE | 10/17/2023 |
| Snapper, Suzanne | Individual | Corporate Officer | NOT APPLICABLE | 10/17/2023 |
| Thatcher, Brent | Individual | Corporate Officer | NOT APPLICABLE | 10/17/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Middlesboro Nursing and Rehabilitation Facility | 6.7 mi | Middlesboro, KY | ★★★★★ | 4/5 | |
| Buchanan Place | 9.5 mi | New Tazewell, TN | ★★☆☆☆ | 2/5 | |
| Claiborne Health and Rehabilitation Center | 9.5 mi | Tazewell, TN | ★★★☆☆ | 3/5 | |
| Mountain View Rehabilitation and Healthcare Center | 12.3 mi | Pineville, KY | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445263.