Tri State Health and Rehabilitation Center
600 SHAWANEE RD, Harrogate, TN, 37752
Yes. Federal inspectors cited 4 deficiencies against Tri State Health and Rehabilitation Center in Harrogate, Tennessee at its most recent standard inspection on 2025-12-17, 1 of them arising from complaints. 5 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $14,852. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 15 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-12-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-12-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-12-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-12-17 · standard survey · No actual harm, potential for more than minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · F0678 · 2024-09-26 · from a complaint · Immediate jeopardy to resident health or safety
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.
Nursing and Physician Services Deficiencies · F0726 · 2024-09-26 · from a complaint · Immediate jeopardy to resident health or safety
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2024-09-26 · from a complaint · Immediate jeopardy to resident health or safety
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.
Administration Deficiencies · F0837 · 2024-09-26 · from a complaint · Immediate jeopardy to resident health or safety
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2024-09-26 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-09-26 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-09-26 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-09-26 · from a complaint · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0693 · 2023-08-16 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-08-16 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2019-12-10 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Tri State Health and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ROCKY TOP HEALTHCARE LLC | Organization | 100% | since 10/17/2023 |
| ABBOTT, SWATI | Individual | NOT APPLICABLE | since 10/17/2023 |
| AGWUNOBI, JOHN | Individual | NOT APPLICABLE | since 10/17/2023 |
| ALBRECHTSEN, TYLER | Individual | NOT APPLICABLE | since 10/17/2023 |
| BLOUIN, ANN | Individual | NOT APPLICABLE | since 10/17/2023 |
| CHRISTENSEN, CHRISTOPHER | Individual | NOT APPLICABLE | since 10/17/2023 |
| PARKINSON, MARK | Individual | NOT APPLICABLE | since 10/17/2023 |
| PORT, BARRY | Individual | NOT APPLICABLE | since 10/17/2023 |
| SHAW, DAREN | Individual | NOT APPLICABLE | since 10/17/2023 |
| SMITH, BARRY | Individual | NOT APPLICABLE | since 10/17/2023 |
| SNAPPER, SUZANNE | Individual | NOT APPLICABLE | since 10/17/2023 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 10/17/2023 |
Part of the THE ENSIGN GROUP group.
Ask Tri State Health and Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 445263.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction