About Tri State Health and Rehabilitation Center

Tri State Health and Rehabilitation Center is a nursing home in Harrogate, Tennessee. Its capacity is 116 beds, above the Tennessee median of 114 for nursing homes. It is run by a for-profit operator and is part of The Ensign Group. It is Medicare certified. Its public inspection record shows 15 citations, the most recent on December 17, 2025. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.55 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

3.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (15)

Records from December 2019 to December 2025.

December 17, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 24, 2026.
December 17, 2025
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 24, 2026.
December 17, 2025
Tag F0602
Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
December 17, 2025
Tag F0761
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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 24, 2026.
September 26, 2024
Tag F0726
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.
Severity K: pattern, immediate jeopardy. Corrected October 19, 2024.
September 26, 2024
Tag F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2024.
September 26, 2024
Tag F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity K: pattern, immediate jeopardy. Corrected October 19, 2024.
September 26, 2024
Tag F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2024.
September 26, 2024
Tag F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2024.
September 26, 2024
Tag F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity K: pattern, immediate jeopardy. Corrected October 19, 2024.
September 26, 2024
Tag F0837
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.
Severity K: pattern, immediate jeopardy. Corrected October 19, 2024.
September 26, 2024
Tag F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity K: pattern, immediate jeopardy. Corrected October 19, 2024.
August 16, 2023
Tag F0693
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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 16, 2023
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2023.
December 10, 2019
Tag F0695
Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2019.

See the source data on data.cms.gov

Penalties (2)

Total fines: $14,852

September 26, 2024 · Fine
CMS recorded a civil money penalty of $7,426 against this nursing home on September 26, 2024.
September 26, 2024 · Fine
CMS recorded a civil money penalty of $7,426 against this nursing home on September 26, 2024.

See the source data on data.cms.gov

Staffing

3.55 nurse hours per resident per day in Q2 2026, down from 3.79 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of The Ensign Group, a chain of 347 nursing homes.

Average CMS star ratings across the chain: 3.3 overall, 2.8 for health inspections, 2.8 for staffing, 4.4 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Tennessee.

Nursing Homes

Tennessee median$9,429/mo

Tennessee cost breakdown

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