Harlan Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Harlan Health and Rehabilitation Center is a 143-bed for-profit nursing home in Harlan, Kentucky, part of Seky Holding Co.. In the CMS August 2026 release it reported 2.90 nurse aide hours per resident per day, 23% above the Kentucky average of 2.36, and 45.7% nursing staff turnover (Kentucky average 46.4%).
Harlan Health and Rehabilitation Center
200 Medical Center DriveHarlan, KY 40831
Harlan County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harlan Health and Rehabilitation Center, nurse aides logged 2.90 hours per resident per day, 23% above the Kentucky average. With about 119 residents a day, that works out to roughly 343 aide hours a day, or about 43 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Kentucky avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.90 | 2.36 | 2.32 |
| Licensed practical nurses | 0.58 | 0.80 | 0.86 |
| Registered nurses | 0.71 | 0.79 | 0.69 |
| All nursing staff | 4.19 | 3.95 | 3.86 |
| All nursing staff, weekends | 3.86 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
45.7% of nursing staff at Harlan Health and Rehabilitation Center left over the year CMS measured, against a Kentucky average of 46.4% and a US average of 45.8%. Registered nurse turnover was 34.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 21, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Kentucky average 2.9). CMS lists 2 fines totaling $10,868 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 21, 2025 | Fine | $5,434 |
| Mar 21, 2025 | Fine | $5,434 |
| Mar 21, 2025 | Payment Denial | 11 days from Apr 19, 2025 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Harlan Health and Rehabilitation Center holds 1 of 5 overall; the Kentucky average is 3.0.
About Harlan Health and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: Seky Holding Co., 9 homes
- Legal name: Harlan Nursing Home, Inc.
- Medicare and Medicaid certified since: Nov 2, 1981
- Councils: resident council
- Area: rural
Nursing homes near Harlan Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lee Health And Rehab Center Pennington Gap | 15.1 | 110 | 2.03 | 3.47 | 39.3% | 5 | None |
| Tri Cities Rehabilitation and Healthcare Center Cumberland | 19.1 | 85 | 2.36 | 3.75 | 41.4% | 2 | $5,346 |
| Hancock Manor Nursing Home Sneedville | 19.9 | 50 | 2.49 | 4.13 | 37.0% | 4 | None |
| Mountain View Rehabilitation and Healthcare Center Pineville | 21.7 | 115 | 1.99 | 3.37 | 54.3% | 4 | None |
| Hyden Health and Rehabilitation Center Hyden | 23.8 | 94 | 3.05 | 4.46 | 33.7% | 5 | $5,346 |
| Tri State Health and Rehabilitation Center Harrogate · abuse citation | 24.0 | 116 | 1.95 | 3.44 | 38.5% | 1 | $14,852 |
| Middlesboro Nursing and Rehabilitation Facility Middlesboro | 27.9 | 95 | 2.45 | 3.94 | 44.0% | 5 | None |
| Ridgecrest Manor Nursing & Rehabilitation Duffield | 28.4 | 120 | 1.88 | 3.59 | 37.0% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.