Nursing HomeInspections

Harlan Health and Rehabilitation Center

Nursing home in Harlan, KY

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
200 Medical Center Drive, Harlan, KY 40831
Phone
(606) 573-7250
Listed under
For-profit
Medicare CCN
185166
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
143
Average residents per day
119
Ownership
For-profit, corporation
Legal business name
Harlan Nursing Home, INC.
Chain
Seky Holding CO. (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 2, 1981
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 185166. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 21, 2025. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 14, 2019 to Mar 21, 2025): 2 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 21, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 21, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 21, 2025Have enough backup water supply for essential areas of the nursing home.
Environmental		F
Potential for more than minimal harm, widespread
Mar 21, 2025Develop 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		G
Actual harm, isolated
Mar 21, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		G
Actual harm, isolated
Mar 21, 2025Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care		G
Actual harm, isolated
Jan 24, 2024Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 24, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 15, 2021Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 14, 2019Develop 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		E
Potential for more than minimal harm, pattern
Mar 14, 2019Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $10,868 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 21, 2025Fine: $5,434
Mar 21, 2025Fine: $5,434
Mar 21, 2025Payment denial for 11 days from Apr 19, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.19 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
2.90 hours
Total nurse staffing on weekends
3.86 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
35%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.