Nursing home
Harlan Health and Rehabilitation Center
200 Medical Center Drive, Harlan, KY 40831 · Map
For profit - Corporation · Part of Seky Holding Co. (9 facilities) · 143 certified beds
Harlan Health and Rehabilitation Center is a Medicare-certified nursing home in Harlan, Kentucky. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.43 hours per resident per day, above the Kentucky average of 4.01. Its most recent inspection on Mar 21, 2025 cited 7 deficiencies.
- 2 fines totaling $10,868In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harlan Health and Rehabilitation Center compares
This facility vs. the Kentucky and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kentucky avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.43 | 4.01 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.88 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.00 | 2.43 | 2.34 | above avg |
| Nursing staff turnover | 44.6% | 46.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 3.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $10,868, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Harlan Health and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Mar 21, 2025 · Full report (PDF) - Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Mar 21, 2025 · Full report (PDF) - Actual harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Have enough backup water supply for essential areas of the nursing home.
Environmental Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 24, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 24, 2024 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Apr 15, 2021 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 14, 2019 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 14, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 200 Medical Center Drive
Harlan, KY 40831 - CMS certification #
- 185166
- Ownership
- For profit - Corporation
- Certified beds
- 143
- Avg residents/day
- 119.7
- Provider type
- Medicare and Medicaid
- First certified
- 1981-11-02
- Chain
- Seky Holding Co. (9 facilities)
- Setting
- Rural
Part of Seky Holding Co.
Seky Holding Co. operates 9 nursing facilities across the United States. View all Seky Holding Co. facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harlan Health and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Harlan Health and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Harlan Arh Hospital, Harlan. 0.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Lee Health and Rehab Center, Pennington Gap. 15.1 miles away, straight line.
- Nearest home health agency office
- Harlan Arh Hha, Harlan. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 40831 as small town (small town core).
- Dialysis within 15 miles
- Fmc - Na Harlan, Harlan, 0.5 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 40831.
- Nearest geriatric medicine practice
- Cherokee Health Systems, Talbott. 44.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Harlan County, KY, risk to homes is greater than 93% of communities in Kentucky and 87% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Harlan Health and Rehabilitation Center a good nursing home?
CMS gives Harlan Health and Rehabilitation Center an overall rating of 1 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harlan Health and Rehabilitation Center staffed?
Harlan Health and Rehabilitation Center reports 4.43 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Harlan Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Harlan Health and Rehabilitation Center have?
Harlan Health and Rehabilitation Center is certified for 143 beds.