Nursing HomeInspections

Tri State Health and Rehabilitation Center

Nursing home in Harrogate, TN

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
600 Shawanee Rd, Harrogate, TN 37752
Phone
(423) 869-5376
Listed under
For-profit
Medicare CCN
445263
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
116
Average residents per day
95
Ownership
For-profit, corporation
Legal business name
Raven Lake Healthcare INC
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 21, 1991
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 445263. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Dec 17, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 10, 2019 to Dec 17, 2025): 9 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 17, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 17, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 17, 2025Ensure 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		D
Potential for more than minimal harm, isolated
Sep 26, 2024Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 26, 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		E
Potential for more than minimal harm, pattern
Sep 26, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 26, 2024Provide 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 · complaint inspection		K
Immediate jeopardy, pattern
Sep 26, 2024Ensure 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 · complaint inspection		K
Immediate jeopardy, pattern
Sep 26, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		K
Immediate jeopardy, pattern
Sep 26, 2024Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed…
Administration · complaint inspection		K
Immediate jeopardy, pattern
Sep 26, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		K
Immediate jeopardy, pattern

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $14,852 in the last three years.

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

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

Staffing

Total nurse staffing per resident per day
3.55 hours
Registered nurse (RN) time per resident per day
0.78 hours
Nurse aide time per resident per day
2.04 hours
Total nurse staffing on weekends
3.03 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
39%
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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error