Tri State Health and Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 37752
Tri State Health and Rehabilitation Center is a nursing home in Harrogate, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionDecember 17, 2025 (10 months ago)
- Health citations since December 10, 201915 (Tennessee average 14)
- Fines in the past three years2, $14,852 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on December 17, 2025
4 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 4 citations
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on November 21, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 24, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 24, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 24, 2026.
Fire safety inspection on December 17, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on January 6, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 2, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 29, 2025.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 29, 2025.
CMS update of November 20, 2025
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Fine
CMS changed the fine from September 26, 2024 from $14,853 to $7,426.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on September 26, 2024
8 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
33 of 303 Tennessee homes (11%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $7,426 on September 26, 2024.
CMS fine of $7,426 on September 26, 2024.
Show the 8 citations
Citation F0678. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS lists it as corrected on October 19, 2024.
Citation F0726. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on October 19, 2024.
Citation F0835. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on October 19, 2024.
Citation F0837. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on October 19, 2024.
Citation F0867. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on October 19, 2024.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 19, 2024.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on October 19, 2024.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on October 19, 2024.
CMS update of September 26, 2024
Name
CMS lists a new legal business name for this home.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of June 26, 2024
Ownership
CMS no longer lists a chain for this home.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on August 16, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS lists it as corrected on September 16, 2023.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 28, 2023.
Fire safety inspection on August 16, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 12, 2023.
Citation K0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
CMS lists it as corrected on September 12, 2023.
Citation K0754. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on September 12, 2023.
Health inspection on December 10, 2019
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on December 10, 2019.
Fire safety inspection on December 10, 2019
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on January 21, 2020.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (423) 869-5376
- Last standard health inspection
- December 17, 2025 (10 months ago)
- Certified beds
- 116
- Residents per day, on average
- 94.9
- Ownership type
- For profit - Corporation
- Legal business name
- Raven Lake Healthcare INC
- Chain
- The Ensign Group
- Takes part in
- Medicare and Medicaid
More health citations than the Tennessee average (15 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ROCKY TOP HEALTHCARE LLC5% or greater direct ownership interest · 100% · since 10/17/2023
- SMITH, MAGENOperational/managerial control · not applicable · since 01/01/2024
Questions
When was Tri State Health and Rehabilitation Center last inspected?
CMS lists December 17, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Tri State Health and Rehabilitation Center have?
CMS lists 15 health citations since December 10, 2019. CMS also calls these deficiencies.
Has Tri State Health and Rehabilitation Center been fined?
CMS lists 2 fines in the past three years, $14,852 in total.
What is the CMS star rating of Tri State Health and Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is Tri State Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.