Nursing home
Tri State Health and Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 37752 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 116 certified beds
Tri State Health and Rehabilitation Center is a Medicare-certified nursing home in Harrogate, Tennessee. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Dec 17, 2025 cited 4 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $14,852In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tri State Health and Rehabilitation Center compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.75 | 0.61 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.03 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 39.8% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 5.9 | 9.5 | below 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 $14,852, 2 total penalties.
What inspectors found at Tri State 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.
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 17, 2025 · 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 · Dec 17, 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 · Dec 17, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 17, 2025 · Full report (PDF) - Immediate jeopardy
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Sep 26, 2024 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · Sep 26, 2024 · Full report (PDF) - Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Sep 26, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Sep 26, 2024 · Full report (PDF) - Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Sep 26, 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 · Sep 26, 2024 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2024 · Full report (PDF)
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
- 600 Shawanee Rd
Harrogate, TN 37752 - CMS certification #
- 445263
- Ownership
- For profit - Corporation
- Certified beds
- 116
- Avg residents/day
- 89.7
- Provider type
- Medicare and Medicaid
- First certified
- 1991-03-21
- Chain
- The Ensign Group (329 facilities)
- Setting
- Rural
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tri State Health and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Tri State 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.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Middlesboro Arh Hospital, Middlesboro. 5.7 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Middlesboro Nursing and Rehabilitation Facility, Middlesboro. 6.7 miles away, straight line.
- Nearest home health agency office
- Middlesboro Arh Home Health Agency, Middlesboro. 3.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 4.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37752 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Davita Appalachian Dialysis, New Tazewell, 9.9 miles away, straight line (CMS rating 3 of 5 stars)
Dialysis Services Of Pineville, Pineville, 11.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 37752.
Beacon Hospice, office in New Tazewell, 9.8 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Cherokee Health Systems, Talbott. 31.1 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 Harrogate, TN, risk to homes is greater than 99% of communities in Tennessee and 88% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively moderate, heat wave very 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 Tri State Health and Rehabilitation Center a good nursing home?
CMS gives Tri State Health and Rehabilitation Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tri State Health and Rehabilitation Center staffed?
Tri State Health and Rehabilitation Center reports 3.63 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Tri State Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Tri State Health and Rehabilitation Center have?
Tri State Health and Rehabilitation Center is certified for 116 beds.