F

Harlan Health and Rehabilitation Center

200 Medical Center Drive, Harlan, KY 40831
Score: 26 / 100

With a score of 26/100, Harlan Health And Rehabilitation Center ranks in the bottom tier of Kentucky nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Harlan Health And Rehabilitation Center exceed national averages, with 4.43 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.88 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 12 deficiencies at Harlan Health And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.43 3.8 Above Average
Registered Nurses (RN) 0.88 0.7 Above Average
Licensed Practical Nurses (LPN) 0.56 0.7 Below Average
Certified Nursing Assistants (CNA) 3.00 2.4 Above Average
Weekend Total Nursing 3.89 3.8 Average
Weekend RN Hours 0.61 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Mar 20, 2025
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0656 Severity G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Mar 20, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0692 Severity G
    Provide enough food/fluids to maintain a resident's health.
    Mar 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0790 Severity G
    Provide routine and 24-hour emergency dental care for each resident.
    Mar 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0922 Severity F
    Have enough backup water supply for essential areas of the nursing home.
    Mar 20, 2025 · Environmental Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Mar 20, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.9% 4.5% Worse
Falls with major injury 3.3% 3.0% Average
On antipsychotic medication 21.5% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 8.5% 14.0% Better
Excessive weight loss 9.2% 7.5% Worse
New/worsened incontinence 12.9% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $10,868

How This Grade Was Calculated

This facility's grade of F is based on a score of 26 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
143
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 20, 2025
Deficiencies (Cycle 1)
7