Total health inspections
4
Tennessee average 3.5
Last Health inspection on Sep 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Tri State Health and Rehabilitation Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tri State Health and Rehabilitation Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tri State Health and Rehabilitation Center accepts Medicaid, Medicare, and private pay.
Overview of Tri State Health and Rehabilitation Center
Tri-State Health and Rehabilitation Center in Harrogate, TN, is a nursing home that offers long-term care, short-term rehabilitation, memory support, expert nursing, and respite stays. Serving the region since July 1992, this long-standing provider is owned by Raven Lake Healthcare Inc., with Magen Ann Smith acting as administrator under the larger Ensign Services network umbrella. Admitting individuals who rely on Medicare, Medicaid, or private funds, the community currently holds a 1-star quality score from CMS. An active monthly calendar, religious services, a signature “Stay Active” wellness framework, and 24-hour care via on-staff doctors, credentialed nurses, and certified aides are also provided.
A primary differentiator for this neighborhood is its exceptional allocation of registered nurse hours. The data indicate that registered nurses spend an average of 45 minutes of direct attention on each resident daily, beating the Tennessee state norm of 37 minutes by 22% and comfortably passing the national benchmark of 41 minutes. This robust staffing metric leads all other personnel data categories. Certified nursing assistants, licensed practical nurses, and registered nurses all completed their 91-day cycles with unbroken 100% shift coverage. The local workforce additionally includes respiratory therapists, dental practitioners, speech therapists, and nurse practitioners. Total adjusted nursing attention equals 3 hours and 16 minutes per resident every day, though licensed practical nurse and nursing assistant hours track slightly under state medians. Crucially for families prioritizing rehabilitation, physical therapist availability averages 3 minutes per resident daily, a 40% reduction when measured against the state average of 5 minutes.
Regulatory records from the Tennessee Department of Health document 4 total evaluations throughout a seven-year period, resulting in 12 health deficiencies. Significantly, 8 of these 12 citations grew out of specific complaint investigations rather than routine annual reviews, a pattern pointing toward a heavily complaint-driven oversight dynamic. Of the 12 deficiencies, 5 reached a critical tier of severity, with zero serious, 7 moderate, and 0 minor marks. The most recent state overview from September 26, 2024, uncovered 3 critical administrative citations and 1 moderate citation regarding abuse or neglect, all of which are now officially marked as resolved. Broadly sorted, quality of life issues and administrative oversight combined for half the total findings with 3 citations each, while infection control and abuse themes contributed 1 apiece. Third-party channels show 4 verified complaints alongside a single civil monetary penalty in recent cycles.
Since it represents the only skilled nursing choice in Harrogate, the community draws heavily from a short-stay demographic. Private insurance accounts for 64% of arrivals, typically involving stays lasting one to two months, while Medicare admissions for post-acute rehabilitation comprise 26% of the base, holding a similar one-to-two-month duration. Total occupancy hovers around 75.3%, trailing the statewide average.
For those seeking localized medical care along the tri-state borders of Tennessee, Kentucky, and Virginia, Tri-State Health and Rehabilitation Center offers families a localized care choice with an entirely permanent, employee-only nursing staff and strong registered nurse availability for older adults.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 101st out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 101st out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 16m per day
Rank #101 / 172Nurse hours — State benchmarkedThis home is ranked 101st out of 172 homes in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 172 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Tennessee avg
-11%
Standout metric
Registered Nurse (RN) is +22% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 45m per day | ▲ 22% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▼ 22% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 5% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 12m per day | ▼ 4% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 22m per day | ▼ 8% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
75.3%
Rank #159 / 303Occupancy rate — State benchmarkedThis home is ranked 159th out of 303 homes in Tennessee for occupancy rate. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 303. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
82 days
116-bed community Rank #106 / 427Bed count — State benchmarkedThis home is ranked 106th out of 427 homes in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation Rank #67 / 385Years in operation — State benchmarkedThis home is ranked 67th out of 385 homes in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 47 / 100 Rank #167 / 554Walk Score — State benchmarkedThis home is ranked 167th out of 554 homes in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
ExpirationAugust 1, 2026
License Number00000038
Tri State Health and Rehabilitation Center is administrated by Magen Ann Smith.
Owner NameRaven Lake Healthcare Inc
Accept Medicaid
Accept Medicare
Rehabilitation Services
Doctor on Staff
24-Hour Staffing
ActivitiesMonthly activity calendars packed with options designed to help residents stay active.
Specific ProgramsIn-House Therapy, Stay Active, Videos & Photos
Religious ServicesYes
Food DescriptionNutritious satisfying menus are provided.
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Since 2019 · 7 years of data
1 citation
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2019 vs. Tennessee state average
Overall vs. TN average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than Tennessee average:
• Total citations (75% below)
• Citations per year (83% below)
• Total citations (75% below)
• Citations per year (83% below)
Latest Inspection
August 16, 2023
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 4 | This facility has 75% fewer total citations than a typical Tennessee nursing home (1 vs. TN avg 4).↓ 75% better |
|
Citations per year
Average citations per year since 2019.
| 0.1 | 0.6 | This facility has 83% fewer citations per year than a typical Tennessee nursing home (0.1 vs. TN avg 0.6).↓ 83% better |
Health Inspection History
Inspections
Total health citations
12
Rank #70 / 176Health citations — State benchmarkedThis home is ranked 70th out of 176 homes in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 176 TN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 15.4
Citations per inspection
3
Rank #42 / 176Citations per inspection — State benchmarkedThis home is ranked 42nd out of 176 homes in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 176 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 12 citations resulted from standard inspections; and 8 of 12 resulted from complaint investigations.
Breakdown of citation severity (last 7 years)
Critical health citations
5
355% worse than Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
Citations history (last 7 years)
Abuse/Neglect moderate citation
Sep 26, 2024
Corrected
Administration critical citation
Sep 26, 2024
Corrected
Administration critical citation
Sep 26, 2024
Corrected
Administration critical citation
Sep 26, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
109
Employees
109
Contractors
0
Staff to resident ratio
1.31 : 1
25% fewer staff per resident than Tennessee average
Avg staff/day
48
Average shift
8.8 hours
6% better than Tennessee average
Total staff hours (quarter)
38,991
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 17 RN Staff are full-time employees. No contractors work on this role.
17
All 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0% — all staff are direct employees this quarter
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 18,307 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 15 | 0 | 15 | 7,337 | 92 | 100% | 9.4 |
| Registered Nurse | 17 | 0 | 17 | 3,737 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,700 | 66 | 72% | 8.9 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,578 | 68 | 74% | 6.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,433 | 92 | 100% | 7.3 |
| Dental Services Staff | 3 | 0 | 3 | 1,295 | 70 | 76% | 7.5 |
| Physical Therapy Aide | 3 | 0 | 3 | 981 | 71 | 77% | 7.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 860 | 67 | 73% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 540 | 60 | 65% | 9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 385 | 64 | 70% | 5.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 342 | 60 | 65% | 5.6 |
48 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
72%
4 Speech Language Pathologist
% of Days
74%
5 Other Dietary Services Staff
% of Days
100%
3 Dental Services Staff
% of Days
76%
3 Physical Therapy Aide
% of Days
77%
2 Physical Therapy Assistant
% of Days
73%
1 Nurse Practitioner
% of Days
65%
1 Administrator
% of Days
67%
2 Qualified Social Worker
% of Days
70%
3 Respiratory Therapy Technician
% of Days
65%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$15K Rank #134 / 177Federal fines — State benchmarkedThis home is ranked 134th out of 177 homes in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 177 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
83% lower than Tennessee averageTennessee average: $86K
Number of fines
2
15% more fines than Tennessee averageTennessee average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Tennessee averageTennessee average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$15K
Tennessee average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2024
$7K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2024
$7K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
In line with Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
25% worse than Tennessee averageTennessee average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.6%
Percent of long-stay residents whose need for help with daily activities has increased
10.6%
34% better than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
35.5%
Percent of long-stay residents whose ability to move independently worsened
35.5%
63% worse than Tennessee averageTennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
30% worse than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
35% better than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
41% better than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
51% better than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.8%
Percent of long-stay residents who lose too much weight
0.8%
87% better than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.9%
Percent of long-stay residents who have depressive symptoms
4.9%
55% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.3%
Percent of long-stay residents who received an antipsychotic medication
7.3%
56% better than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.91
Number of hospitalizations per 1,000 long-stay resident days.
0.91
42% better than Tennessee averageTennessee average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.20
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.20
104% worse than Tennessee averageTennessee average: 1.57
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
25% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
32% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
25% better than Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
23% better than Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.2%
63% worse than Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.6%
13% better than Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
50.3%
Rate of successful return to home or community from a skilled nursing facility.
50.3%
In line with Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
26% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
64% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83
Medicare
8
9.6% of residents
Medicaid
52
62.7% of residents
Private pay or other
23
27.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Tri State Health and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
75.3%
↑ 9.6pp vs 2022
Net Income
$1.1M
↑ ~$2.1M vs 2022
Total Payroll
$5.7M
↑ ~$254.3K vs 2022
Profit Margin
7.7%
↑ 15.4pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.4M
Profit
$1.1M
Privately-owned community
Operated by a business corporation.
Home revenue
$15.4M Rank #62 / 176Revenue — State benchmarkedThis home is ranked 62nd out of 176 homes in Tennessee for revenue. Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #88 / 176Payroll — State benchmarkedThis home is ranked 88th out of 176 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #88 / 176Payroll — State benchmarkedThis home is ranked 88th out of 176 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.2M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Tri State Health and Rehabilitation Center
0.0 miles from city center
Estimated distance in miles from Harrogate's city center to Tri State Health and Rehabilitation Center's address, calculated via Google Maps.
Calculate Travel Distance to Tri State Health and Rehabilitation Center
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Financial Assistance for
Nursing Home in Tennessee
Tri State Health and Rehabilitation Center is located in Harrogate, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about Tri State Health and Rehabilitation Center
Who is the owner of Tri State Health and Rehabilitation Center?
The legal owner and operator of Tri State Health and Rehabilitation Center is Raven Lake Healthcare Inc.
Is Tri State Health and Rehabilitation Center in a walkable area?
Tri State Health and Rehabilitation Center has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Tri State Health and Rehabilitation Center?
According to TN state health department records, Tri State Health and Rehabilitation Center's license number is 00000038.
When does Tri State Health and Rehabilitation Center's license expire?
According to TN state health department records, Tri State Health and Rehabilitation Center's license expires on August 1, 2026.
Who is the administrator of Tri State Health and Rehabilitation Center?
Magen Ann Smith is the administrator of Tri State Health and Rehabilitation Center.
How many beds does Tri State Health and Rehabilitation Center have?
Tri State Health and Rehabilitation Center has 116 beds.
Are there photos of Tri State Health and Rehabilitation Center?
Yes — there are 20 photos of Tri State Health and Rehabilitation Center in the photo gallery on this page.
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