About Tri State Health And Rehabilitation CenterTri State Health And Rehabilitation Center is located at 600 Shawanee Rd, Harrogate, TN, reachable at (423) 869-5376. This For profit – Corporation facility operates 116.0 certified beds and serves an average of 89 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 1991-03-21. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#8341 of 14703 nationally – #176 of 303 in Tennessee
Who Is This Facility Best For?
Tri State Health And Rehabilitation Center may be considered for families with limited options in Harrogate, TN, but its lower CMS ratings suggest careful due diligence is warranted. It scores well for both long-term residents and short-stay rehabilitation patients.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★1 / 5
Staffing Rating
★★★★★3 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★4 / 5
Short-Stay QM Rating
★★★★★4 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightTri State Health And Rehabilitation Center currently provides 3 hours 38 minutes of total nurse staffing per resident per day, including 45 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 39.8% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 38 minutes
Nurse Aide Hours2 hours 2 minutes
Licensed Practical Nurse (LPN) Hours51 minutes
Registered Nurse (RN) Hours45 minutes
Physical Therapist Hours3 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 7 minutes
Weekend Registered Nurse (RN) Hours22 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance Summary⚠️ CMS has flagged Tri State Health And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $14,852. 16 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Tri State Health And Rehabilitation Center ranks 8341st out of 14,703 facilities (composite score: 69.9/100), placing it in the below average nationwide. Within TN, it ranks 176th out of 303 nursing homes. For 2026 staffing: total nurse hours rank #7,789 nationally and RN hours rank #4,165 nationally (#53 in TN).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TN State Rank
Note
2022
3.45
#8,271 / 14,703
#177 / 303
Below average
2023
3.58
#7,155 / 14,703
#157 / 303
Above average
2024
3.36
#9,510 / 14,703
#206 / 303
Below average
2025
3.42
#9,664 / 14,703
#211 / 303
Below average
2026
3.63
#7,789 / 14,703
#166 / 303
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TN State Rank
Note
2022
0.92
#2,686 / 14,703
#26 / 303
Top 25%
2023
0.75
#3,930 / 14,703
#45 / 303
Above average
2024
0.80
#3,244 / 14,703
#40 / 303
Top 25%
2025
0.71
#4,635 / 14,703
#62 / 303
Above average
2026
0.75
#4,165 / 14,703
#53 / 303
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Tri State Health And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-03-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (423) 869-5376 or your local Medicaid office to verify current eligibility.
Tri State Health And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (3★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 69.9/100, placing it #8341 of 14703 facilities nationally and #176 of 303 in Tennessee. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Tri State Health And Rehabilitation Center receives a reported average of 3 hours 38 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 45 minutes; Licensed Practical Nurse (LPN) — 51 minutes; Nurse Aide — 2 hours 2 minutes. On weekends, total nurse staffing is 3 hours 7 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 39.8%. Families are encouraged to ask about current staffing schedules during their facility visit.
⚠️ CMS has flagged Tri State Health And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $14,852. 16 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $14,852, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 150.25 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Tri State Health And Rehabilitation Center ranks 8341st out of 14,703 facilities (composite score: 69.9/100), placing it in the below average nationwide. Within TN, it ranks 176th out of 303 nursing homes. For 2026 staffing: total nurse hours rank #7,789 nationally and RN hours rank #4,165 nationally (#53 in TN). Our composite quality score of 69.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Harrogate, visit: https://nursinghomesnearme.org/tennessee/harrogate/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.