Tri State Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 26/100 — placing it among the lowest-rated nursing facilities in Tennessee. Families considering this Harrogate facility should carefully review its inspection history and quality metrics.
Staffing at Tri State Health And Rehabilitation Center is near the national average, with 3.63 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 15 deficiencies at Tri State Health And Rehabilitation Center, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.63 | 3.8 | Average |
| Registered Nurses (RN) | 0.75 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.84 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.03 | 2.4 | Below Average |
| Weekend Total Nursing | 3.11 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 16, 2025 · Pharmacy Service Deficiencies
- Tag 0602 Severity DProtect each resident from the wrongful use of the resident's belongings or money.Dec 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0678 Severity KProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advancSep 25, 2024 · Quality of Life and Care 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 | 3.3% | 4.5% | Better |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 16.7% | 14.5% | Worse |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.4% | 14.0% | Better |
| Excessive weight loss | 0.8% | 7.5% | Better |
| New/worsened incontinence | 23.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $14,852
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: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 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
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