Tri State Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Tri State Health and Rehabilitation Center is a 116-bed for-profit nursing home in Harrogate, Tennessee, part of The Ensign Group. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, 8% below the Tennessee average of 2.12, and 38.5% nursing staff turnover (Tennessee average 48.9%).
Tri State Health and Rehabilitation Center
600 Shawanee RdHarrogate, TN 37752
Claiborne County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Tri State Health and Rehabilitation Center, nurse aides logged 1.95 hours per resident per day, 8% below the Tennessee average. With about 101 residents a day, that works out to roughly 197 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.12 | 2.32 |
| Licensed practical nurses | 0.76 | 1.09 | 0.86 |
| Registered nurses | 0.73 | 0.60 | 0.69 |
| All nursing staff | 3.44 | 3.80 | 3.86 |
| All nursing staff, weekends | 2.92 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.5% of nursing staff at Tri State Health and Rehabilitation Center left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 38.9%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Tennessee average 4.7). CMS lists 2 fines totaling $14,852 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 26, 2024 | Fine | $7,426 |
| Sep 26, 2024 | Fine | $7,426 |
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. Tri State Health and Rehabilitation Center holds 1 of 5 overall; the Tennessee average is 3.0.
About Tri State Health and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: Raven Lake Healthcare Inc
- Medicare and Medicaid certified since: Mar 21, 1991
- Councils: resident council
- Area: rural
Nursing homes near Tri State Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Middlesboro Nursing and Rehabilitation Facility Middlesboro | 6.7 | 95 | 2.45 | 3.94 | 44.0% | 5 | None |
| Buchanan Place New Tazewell | 9.5 | 134 | 2.10 | 3.65 | 36.7% | 2 | $8,021 |
| Claiborne Health and Rehabilitation Center Tazewell | 9.5 | 100 | 2.37 | 4.35 | — | 3 | None |
| Mountain View Rehabilitation and Healthcare Center Pineville | 12.3 | 115 | 1.99 | 3.37 | 54.3% | 4 | None |
| Ridgeview Terrace of Life Care Rutledge | 22.0 | 132 | 1.81 | 3.27 | 23.3% | 4 | None |
| Willow Ridge Center Maynardville | 23.7 | 77 | 1.84 | 3.11 | 41.8% | 3 | None |
| Hancock Manor Nursing Home Sneedville | 23.8 | 50 | 2.49 | 4.13 | 37.0% | 4 | None |
| Harlan Health and Rehabilitation Center Harlan | 24.0 | 143 | 2.90 | 4.19 | 45.7% | 1 | $10,868 |
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.