Tennessee ›Harrogate

Tri State Health and Rehabilitation Center

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600 Shawanee Rd, Harrogate, TN 37752 (opens Google Maps) · Claiborne County · (423) 869-5376· 116 certified beds · avg 101 residents/day · certified since Mar 21, 1991 · 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 →

Abuse citation flag (CMS)

What the abuse flag means →

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.

1/5
Health inspection rating (on-site)
inspected Dec 17, 2025
5
Serious findings on record
most recent Sep 26, 2024
$14,852
Fines, last 3 years
3.05
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: ★☆☆☆☆1/5 · 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)

▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0602

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689

View all 15 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
Dec 17, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0602
Dec 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Dec 17, 2025D · 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. · F-0689
Dec 17, 2025D · Potential for more than minimal harm, isolatedThe 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
Sep 26, 2024▲ K · Immediate jeopardy, patternThe 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 · F-0678
Sep 26, 2024▲ K · Immediate jeopardy, patternThe 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 · F-0726
Sep 26, 2024▲ K · Immediate jeopardy, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Sep 26, 2024▲ K · Immediate jeopardy, patternThe 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 · F-0837
Sep 26, 2024▲ K · Immediate jeopardy, patternThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Sep 26, 2024E · 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. · from a complaint · F-0656
Sep 26, 2024E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Sep 26, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0600
Aug 16, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0693
Aug 16, 2023D · 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
Dec 10, 2019D · Potential for more than minimal harm, isolatedThe 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 (2 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 1
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 5
2025
All citations: 4
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
201910D
202320D
202485K ▲
202540D

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 $14,852.

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
Sep 26, 2024Fine$7,426
Sep 26, 2024Fine$7,426

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 facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.05
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.65
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.59
Tennessee average: 3.15
U.S. average: 3.50

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

MeasureThis facilityTennessee avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.053.623.95bottom 19% in Tennessee; bottom 15% in the U.S.
Registered Nurse hours0.650.570.69top 29% in Tennessee; top 42% in the U.S.
Weekend total nurse staffing2.593.153.50bottom 18% in Tennessee; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)0.340.390.48bottom 48% in Tennessee; bottom 40% in the U.S.
Total nursing staff turnover (%)38.548.945.8top 19% in Tennessee; top 32% in the U.S.
RN turnover (%)38.943.242.9top 43% in Tennessee; top 45% 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 3.44, RN 0.73, weekend 2.92.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.44 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

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

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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
Rocky Top Healthcare LLCOrganization5% or Greater Direct Ownership Interest100%10/17/2023
Abbott, SwatiIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Agwunobi, JohnIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Albrechtsen, TylerIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Blouin, AnnIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE10/17/2023
Burton, SpencerIndividualCorporate OfficerNOT APPLICABLE10/17/2023
Christensen, ChristopherIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Pannocchia, LuisIndividualADP of the SNFNOT APPLICABLE02/07/2025
Parkinson, MarkIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Port, BarryIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Port, BarryIndividualCorporate OfficerNOT APPLICABLE10/17/2023
Sato, AmiIndividualCorporate OfficerNOT APPLICABLE09/09/2024
Shaw, DarenIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Smith, BarryIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Smith, MagenIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Smith, MagenIndividualADP of the SNFNOT APPLICABLE02/06/2025
Snapper, SuzanneIndividualCorporate DirectorNOT APPLICABLE10/17/2023
Snapper, SuzanneIndividualCorporate OfficerNOT APPLICABLE10/17/2023
Thatcher, BrentIndividualCorporate OfficerNOT APPLICABLE10/17/2023

All 20 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 The Ensign Group — 342 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. Showing 8 of the 341 others, continuing from this facility's own place in that list.

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.

  • "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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 20 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
Middlesboro Nursing and Rehabilitation Facility6.7 miMiddlesboro, KY★★★★★4/5
Buchanan Place9.5 miNew Tazewell, TN★★☆☆☆2/5
Claiborne Health and Rehabilitation Center9.5 miTazewell, TN★★★☆☆3/5
Mountain View Rehabilitation and Healthcare Center12.3 miPineville, KY★★★★☆3/5

Compare this facility with the 3 closest →

All facilities in Harrogate →

Facility data as of CMS processing date 2026-08-01. CCN 445263.

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