Nursing homeActive
Tri State Health And Rehabilitation Center
600 Shawanee Rd, Harrogate, TN 377524238695376116 certified beds · 101 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
15
● 0● 10● 5
Penalties · 3 yrs
$14,852
2 fines
Last survey
2025-12-17
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-17 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Complaint | 035 | CMS-2567 (Care Compare) | — |
| 2023-08-16 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2019-12-10 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-21Record 445263-20251217-F602
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 445263-20251217-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 445263-20251217-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 445263-20251217-F761
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-19Record 445263-20240926-F678
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-19Record 445263-20240926-F726
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity KHarm
Records
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-19Record 445263-20240926-F835
F837Establish 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.Scope/severity KHarm
Records
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-19Record 445263-20240926-F837
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity KHarm
Records
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-19Record 445263-20240926-F867
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-19Record 445263-20240926-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-19Record 445263-20240926-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-19Record 445263-20240926-F842
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-16Record 445263-20230816-F693
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 445263-20230816-F812
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-10Record 445263-20191210-F695
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-09-26 | Civil money penalty | $7,426 | CMS · Penalties |
| 2024-09-26 | Civil money penalty | $7,426 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.73
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.44
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours2.92
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover39%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover39%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.7% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.2% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 9.7% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 41.4% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Rocky Top Healthcare LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Smith, Magen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Abbott, Swati Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Agwunobi, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Albrechtsen, Tyler Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Blouin, Ann Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Burnam, Soon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Burton, Spencer Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Christensen, Christopher Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pannocchia, Luis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Parkinson, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Port, Barry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Port, Barry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sato, Ami Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shaw, Daren Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Barry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Magen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Snapper, Suzanne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Snapper, Suzanne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thatcher, Brent Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
The Ensign Group — 342 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Claiborne.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Middlesboro Nursing and Rehabilitation Facility Middlesboro | 6.7 mi | 2026-06-12 | 010 |
| Buchanan Place New Tazewell | 9.5 mi | 2026-06-24 | 071 |
| Claiborne Health And Rehabilitation Center Tazewell | 9.5 mi | 2025-11-20 | 080 |
| Mountain View Rehabilitation and Healthcare Center Pineville | 12.3 mi | 2025-11-14 | 080 |
| Ridgeview Terrace Of Life Care Rutledge | 22.0 mi | 2025-05-29 | 040 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |