Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
109
109 employees · 0 contractors · 48 on an average day Tri State Health and Rehabilitation Center
Nursing Home & Skilled Nursing · Harrogate, TN
ALM Inspection Grade
C
ALM's inspection grade is 73 / 100, a C — 10 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 73 / 100, a C — 10 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
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.
1/5
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
Nursing Home & Skilled Nursing · Harrogate, TN
ALM Inspection Grade
C
ALM's inspection grade is 73 / 100, a C — 10 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 73 / 100, a C — 10 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
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.
1/5
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 is a nursing home and skilled nursing community in Harrogate, TN, with licensed nursing care available on site around the clock. In-house rehabilitation and therapy are also offered, so it may be a good fit for someone who needs ongoing nursing support and therapy in the same setting. The center has 116 beds, with both private and semi-private rooms.
A private room gives one resident an individual room, while a semi-private room is shared. Total nurse staffing is 3h 8m per resident per day, representing the nursing time assigned to each resident across a day. Medicaid, Medicare, and private pay are accepted: Medicaid can help cover a long stay when personal savings may not be enough, Medicare covers short-term skilled care after a hospital stay rather than long-term residence, and private pay means paying directly for care. Transportation to local churches is available every Sunday, and religious services are offered. Magen Ann Smith is the administrator, and Raven Lake Healthcare operates the center.
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 147th out of 174 nursing homes we track 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 8m
This nursing home is ranked 147th out of 174 nursing homes we track 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 8mStandout metric: Registered nurse (RN) is +12% above Tennessee average
4 of 6 metrics below Tennessee average
Daily care time per resident, by role
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. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 9.5-hour shifts
41m
↑ 12% · TN 37mThis facility: 41m per resident per day, 12% above the Tennessee average of 37m (among Tennessee facilities reporting a recent figure).
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. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 9.5-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.4-hour shifts
38m
↓ 41% · TN 1h 5mThis facility: 38m per resident per day, 41% below the Tennessee average of 1h 5m (among Tennessee facilities reporting a recent figure).
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 48 are the facility's own employees; no agency contractors work in this role.
48 staff · 9.3-hour shifts
1h 48m
↓ 16% · TN 2h 9mThis facility: 1h 48m per resident per day, 16% below the Tennessee average of 2h 9m (among Tennessee facilities reporting a recent figure).
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. All 48 are the facility's own employees; no agency contractors work in this role.
48 staff · 9.3-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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
↓ 49% · TN 5mThis facility: 3m per resident per day, 49% below the Tennessee average of 5m (among Tennessee facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 41m
↓ 20% · TN 3h 21mThis facility: 2h 41m per resident per day, 20% below the Tennessee average of 3h 21m (among Tennessee facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
26m
↑ 8% · TN 24mThis facility: 26m per resident per day, 8% above the Tennessee average of 24m (among Tennessee facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
109
109 employees · 0 contractors · 48 on an average day
109 total staff / 91 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.20 : 1
↓ 29% · TN 1.68This facility: 1.20 staff per resident, 29% below the Tennessee average of 1.68 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
109 staff ÷ 91 residents
See full Tennessee ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.8 h
↑ 6% · TN 8.3 hThis facility: 8.8 h, 6% above the Tennessee average of 8.3 h (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
38,991 staff hours this quarter
See full Tennessee ranking →100% of staff hours were worked by the facility's own employees
Tennessee average: 93.5% · No agency contractors this quarter
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
116
Rank #73 / 180Bed count — State benchmarked This nursing home is ranked 73rd out of 180 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
116
Rank #73 / 180Bed count — State benchmarked This nursing home is ranked 73rd out of 180 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #20 / 156Years in operation — State benchmarked This nursing home is ranked 20th out of 156 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #20 / 156Years in operation — State benchmarked This nursing home is ranked 20th out of 156 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
34
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #65 / 189Walk Score — State benchmarked This nursing home is ranked 65th out of 189 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #65 / 189Walk Score — State benchmarked This nursing home is ranked 65th out of 189 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
47
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #33 / 134Occupancy rate — State benchmarked This nursing home is ranked 33rd out of 134 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 134. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #33 / 134Occupancy rate — State benchmarked This nursing home is ranked 33rd out of 134 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 134. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
81.8%
This home usually has availability
Based on 94.9 residents and 116 beds. Source: CMS Provider Information, average daily residents
Higher than the Tennessee average: 73.9%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
83
days
About This Community
Facility TypeNursing Home
IssuanceJuly 1, 1992
ExpirationSeptember 3, 2027
License Number00000038
Tri State Health and Rehabilitation Center is administered by Magen Ann Smith.
Owner NameRaven Lake Healthcare Inc
Resident Council
Accept Medicaid
Accept Medicare
Doctor on Staff
Pets not allowed
Room Types
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
73 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points below the Tennessee average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
145 severity-weighted points (15 citations) · 4× higher than the typical CMS-certified TN facility (median: 41)
Enforcement
Concern
2 enforcement actions · above the typical CMS-certified TN facility (median: 0) · $14,852 in fines
Persistence
Strong
24 days to fix issues · faster than the typical CMS-certified TN facility (median: 29)
Total health inspections
4
↑ 21% · TN 3.3This facility: 4, 21% above the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
15
Rank #92 / 175Health citations — State benchmarked This nursing home is ranked 92nd out of 175 nursing homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 175 TN facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 3% · TN 14.5This facility: 15, 3% above the TN average of 14.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.75
Rank #72 / 175Citations per inspection — State benchmarked This nursing home is ranked 72nd out of 175 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 175 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 13% · TN 4.31This facility: 3.75, 13% below the TN average of 4.31 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
15 of 15 citations corrected
Critical
J–L
5
↑ 525% · TN 0.8This facility: 5, 525% above the TN average of 0.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · TN 0.5This facility: 0, 100% below the TN average of 0.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
10
↓ 24% · TN 13.1This facility: 10, 24% below the TN average of 13.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TN 0.1This facility: 0, 100% below the TN average of 0.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Dec 17, 2025 · 4 citations, all corrected
Most cited category: Quality of Life & Care, 5 of 15 citations · 7 categories in total
Citations history
Most recent first
Dec 17, 2025
4 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Sep 26, 2024
8 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Administration critical citation
Corrected
Corrected
Administration critical citation
Corrected
Corrected
Administration critical citation
Corrected
Corrected
Nursing Services critical citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Aug 16, 2023
2 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Dec 10, 2019
1 citation
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 15 citations
Quality of Life & Care
5 deficiencies (33%)
Administration
3 deficiencies (20%)
Resident Assessment & Care Planning
2 deficiencies (13%)
Abuse, Neglect & Exploitation
2 deficiencies (13%)
Nutrition & Dietary
1 deficiency (7%)
Nursing & Physician Services
1 deficiency (7%)
Pharmacy Services
1 deficiency (7%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 15 citations resulted from standard inspections; 8 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
2 penalties in the past 3 years
Latest: Sep 26, 2024 · $7,426 civil money penalty
Sep 26, 2024 · $7,426 civil money penalty
Sep 26, 2024 · $7,426 civil money penalty
Total fines
$14,852
↓ 78% · TN $69KThis facility: $14,852, 78% below the Tennessee average of $68,994. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #129 / 175Federal fines — State benchmarked This nursing home is ranked 129th out of 175 nursing homes we track 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 175 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↑ 31% · TN 1.52This facility: 2, 31% above the Tennessee average of 1.52. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TN avg 0.3Tennessee average: 0.3. Average among the 107 Tennessee facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Sep 26, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,426
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,426
Sep 26, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,426
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,426Fine amount comparison
This facility
$14,852
Tennessee average
$68,994
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Tennessee and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Tennessee average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.0
Score · lower is better
↓ 12% · TN 9.1This facility: 8.0, 12% below the TN average of 9.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
18.8
Score · lower is better
↑ 10% · TN 17.1This facility: 18.8, 10% above the TN average of 17.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 9 better, 4 worse
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
9.7%
↓ 31% · TN 14.0This facility: 9.7, 31% below the TN average of 14.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
9.7%
↓ 31% · TN 14.0This facility: 9.7, 31% below the TN average of 14.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
19.7%
↑ 15% · TN 17.2This facility: 19.7, 15% above the TN average of 17.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
19.7%
↑ 15% · TN 17.2This facility: 19.7, 15% above the TN average of 17.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.8%
↑ 34% · TN 20.0This facility: 26.8, 34% above the TN average of 20.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.8%
↑ 34% · TN 20.0This facility: 26.8, 34% above the TN average of 20.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.3%
↓ 81% · TN 1.8This facility: 0.3, 81% below the TN average of 1.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.3%
↓ 81% · TN 1.8This facility: 0.3, 81% below the TN average of 1.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
↓ 40% · TN 3.4This facility: 2.0, 40% below the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
↓ 40% · TN 3.4This facility: 2.0, 40% below the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.7%
↓ 7% · TN 5.0This facility: 4.7, 7% below the TN average of 5.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.7%
↓ 7% · TN 5.0This facility: 4.7, 7% below the TN average of 5.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.9%
↓ 36% · TN 6.1This facility: 3.9, 36% below the TN average of 6.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.9%
↓ 36% · TN 6.1This facility: 3.9, 36% below the TN average of 6.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
16.2%
↑ 17% · TN 13.8This facility: 16.2, 17% above the TN average of 13.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
16.2%
↑ 17% · TN 13.8This facility: 16.2, 17% above the TN average of 13.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
12.2%
↓ 28% · TN 16.8This facility: 12.2, 28% below the TN average of 16.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
12.2%
↓ 28% · TN 16.8This facility: 12.2, 28% below the TN average of 16.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 12% · TN 89.4This facility: 100.0, 12% above the TN average of 89.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 12% · TN 89.4This facility: 100.0, 12% above the TN average of 89.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 6% · TN 94.5This facility: 100.0, 6% above the TN average of 94.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 6% · TN 94.5This facility: 100.0, 6% above the TN average of 94.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.91
↓ 42% · TN 1.58This facility: 0.91, 42% below the TN average of 1.58 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.91
↓ 42% · TN 1.58This facility: 0.91, 42% below the TN average of 1.58 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.20
↑ 104% · TN 1.57This facility: 3.20, 104% above the TN average of 1.57 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.20
↑ 104% · TN 1.57This facility: 3.20, 104% above the TN average of 1.57 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.6%
↑ 13% · US 53.7This facility: 60.6, 13% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
60.6%
↑ 13% · US 53.7This facility: 60.6, 13% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
50.3%
≈ 0% · US 50.6This facility: 50.3, level with the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
50.3%
≈ 0% · US 50.6This facility: 50.3, level with the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↓ 11% · TN 1.7This facility: 1.5, 11% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↓ 11% · TN 1.7This facility: 1.5, 11% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 26% · TN 79.3This facility: 100.0, 26% above the TN average of 79.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 26% · TN 79.3This facility: 100.0, 26% above the TN average of 79.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 25% · TN 79.8This facility: 100.0, 25% above the TN average of 79.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 25% · TN 79.8This facility: 100.0, 25% above the TN average of 79.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
↓ 23% · TN 22.2This facility: 17.2, 23% below the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
↓ 23% · TN 22.2This facility: 17.2, 23% below the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.2%
↑ 63% · TN 11.2This facility: 18.2, 63% above the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
18.2%
↑ 63% · TN 11.2This facility: 18.2, 63% above the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Tri State Health and Rehabilitation Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 169 Tennessee nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
14.1% operating margin
+11.2 pts vs prior year
Positive margin in 6 of the last 8 reported years. Net income $1.7M after other income.
Does it invest in staff?
Payroll in line with Tennessee homes
54.0% payroll share of revenue
TN average 53.2%Rank #62 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 62nd out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.6M while revenue rose $1.7M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Tennessee homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.7M | +$1.7M | Trend 20172024 | TN median $10.6M | Rank in TN Rank #70 / 169Net patient revenue — State benchmarked This nursing home is ranked 70th out of 169 nursing homes we track in Tennessee for net patient revenue. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Above TN median Higher net patient revenue than 59% of TN homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $10.0M | +$0.3M | Trend 20172024 | TN median — | Rank in TN Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.6M | +$1.4M | Trend 20172024 | TN median — | Rank in TN Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 14.1% | +11.2 pts | Trend 20172024 | TN median — | Rank in TN Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | TN median — | Rank in TN Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.7M | +$0.5M | Trend — | TN median — | Rank in TN Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Tennessee homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $6.3M | +$0.6M | Trend 20172024 | TN median $5.2M | Rank in TN Rank #69 / 169Payroll costs — State benchmarked This nursing home is ranked 69th out of 169 nursing homes we track in Tennessee for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 60% of homes | Above TN median Higher payroll than 60% of TN homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 54.0% | −3.2 pts | Trend 20172024 | TN median 50.4% | Rank in TN Rank #62 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 62nd out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 64% of homes | Near TN average The TN average is 53.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · TN benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Tennessee payroll average.
% of net patient revenue
Payroll share Operating margin TN payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.6M | $8.6M | $9.2M | $8.8M | $7.5M | $8.0M | $10.0M | $11.7M |
| Operating expenses | $7.2M | $8.2M | $8.0M | $8.4M | $8.1M | $9.2M | $9.7M | $10.0M |
| Net patient income | $0.4M | $0.4M | $1.3M | $0.4M | −$0.6M | −$1.2M | $0.3M | $1.6M |
| Operating margin | 4.7% | 4.8% | 13.6% | 4.2% | −7.7% | −14.5% | 2.9% | 14.1% |
| Net income | $0.2M | −$0.1M | $1.3M | $0.2M | $1.1M | −$1.0M | $1.1M | $1.7M |
| Payroll costs | $3.9M | $4.5M | $4.4M | $4.6M | $4.4M | $5.5M | $5.7M | $6.3M |
| Payroll share of revenue | 51.1% | 52.8% | 47.9% | 52.6% | 58.3% | 68.1% | 57.2% | 54.0% |
| Beds | 116 | 116 | 116 | 116 | 116 | 116 | 116 | 116 |
| Gross revenue | $8.5M | $11.1M | $13.0M | $10.9M | $10.7M | $12.6M | $14.5M | $13.4M |
| Salaries | $3.5M | $4.0M | $3.9M | $4.2M | $3.9M | $4.9M | $5.1M | $5.6M |
| Wage-related costs | $0.4M | $0.5M | $0.5M | $0.5M | $0.5M | $0.6M | $0.7M | $0.7M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $3.3M | $3.7M | $3.6M | $3.8M | $3.7M | $3.7M | $4.0M | $3.7M |
| Net patient revenue per day | $242 | $256 | $274 | $308 | $286 | $288 | $313 | $348 |
| Cost per day | $231 | $244 | $237 | $295 | $308 | $329 | $304 | $299 |
| Average length of stay | 94.7 days | 78.9 days | 104.4 days | 95.9 days | 100.3 days | 71.6 days | 82.4 days | 82.9 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
459 admissions · FY2024
Residents admitted during the year.
Medicare
107 · 23%
Medicaid
76 · 17%
Private pay & other
276 · 60%
Resident snapshot
91 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
4 · 4%
Medicaid
73 · 80%
Private pay & other
14 · 15%
Leaving
405 discharges · FY2024
Residents discharged during the year.
Medicare
77 · 19%
Medicaid
54 · 13%
Private pay & other
274 · 68%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 53.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NHC HealthCare Murfreesboro | NH HC HOS SNF | Murfreesboro | 181
Facility
181
TN AVG
105
Rank
#12 / 180 | A+ |
66.0%
Facility
66.0%
TN AVG
73.9%
Rank
#93 / 134 | -11% | 3.78
Facility
3.78
TN AVG
3.70
Rank
#63 / 174 | +40% | +2% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 7
Facility
7
TN AVG
14.5
Rank
#22 / 175 | 3.5
Facility
3.5
TN AVG
4.3
Rank
#54 / 175 | - | 119 | A+ | - | National Health Corporation | $15.0MFiscal year ending 12/2024
Facility
$15.0MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#41 / 169 | $8.0MFiscal year ending 12/2024
Facility
$8.0MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#43 / 169 | 53.3%Fiscal year ending 12/2024
Facility
53.3%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#64 / 169 | 445108 | ||||
| Maxim Healthcare – Jackson | NH HC SNF | Jackson | 191
Facility
191
TN AVG
105
Rank
#9 / 180 | A |
94.5%
Facility
94.5%
TN AVG
73.9%
Rank
#14 / 134 | +28% | 4.02
Facility
4.02
TN AVG
3.70
Rank
#33 / 174 | -4% | +9% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 6
Facility
6
TN AVG
14.5
Rank
#15 / 175 | 2.0
Facility
2.0
TN AVG
4.3
Rank
#9 / 175 | - | 181 | - |
32
Facility
32
TN AVG
38
Rank
#114 / 189 | Brandon Vincent | $24.3MFiscal year ending 12/2024
Facility
$24.3MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#6 / 169 | $13.7MFiscal year ending 12/2024
Facility
$13.7MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#7 / 169 | 56.2%Fiscal year ending 12/2024
Facility
56.2%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#52 / 169 | 445004 | ||||
| Ben Atchley Tennessee State Veterans‘ Home | NH SNF | Knoxville | 140
Facility
140
TN AVG
105
Rank
#36 / 180 | A+ |
91.6%
Facility
91.6%
TN AVG
73.9%
Rank
#23 / 134 | +24% | 4.87
Facility
4.87
TN AVG
3.70
Rank
#14 / 174 | -10% | +32% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 5
Facility
5
TN AVG
14.5
Rank
#10 / 175 | 1.7
Facility
1.7
TN AVG
4.3
Rank
#7 / 175 | - | 128 | - |
7
Facility
7
TN AVG
38
Rank
#164 / 189 | State Of Tennessee | $19.7MFiscal year ending 06/2025
Facility
$19.7MFiscal year ending 06/2025
TN AVG
$12.0M
Rank
#15 / 169 | $10.8MFiscal year ending 06/2025
Facility
$10.8MFiscal year ending 06/2025
TN AVG
$6.3M
Rank
#16 / 169 | 55%Fiscal year ending 06/2025
Facility
55%Fiscal year ending 06/2025
TN AVG
53.2%
Rank
#59 / 169 | 445484 | ||||
| West Meade Place LLP | NH SNF | Nashville (West Meade) | 120
Facility
120
TN AVG
105
Rank
#57 / 180 | B+ |
87.6%
Facility
87.6%
TN AVG
73.9%
Rank
#40 / 134 | +19% | 2.97
Facility
2.97
TN AVG
3.70
Rank
#157 / 174 | +57% | -20% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 17
Facility
17
TN AVG
14.5
Rank
#114 / 175 | 5.7
Facility
5.7
TN AVG
4.3
Rank
#138 / 175 | - | 105 | A+ |
54
Facility
54
TN AVG
38
Rank
#47 / 189 | West Meade Place LLP | $17.2MFiscal year ending 12/2024
Facility
$17.2MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#31 / 169 | $10.8MFiscal year ending 12/2024
Facility
$10.8MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#17 / 169 | 62.9%Fiscal year ending 12/2024
Facility
62.9%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#22 / 169 | 445203 | ||||
| Tri State Health and Rehabilitation Center | NH SNF | Harrogate | 116
Facility
116
TN AVG
105
Rank
#73 / 180 | C |
81.8%
Facility
81.8%
TN AVG
73.9%
Rank
#33 / 134 | +11% | 3.14
Facility
3.14
TN AVG
3.70
Rank
#147 / 174 | +77% | -15% | $14.9k
Facility
$14.9k
TN AVG
$69.0k
Rank
#129 / 175 | 15
Facility
15
TN AVG
14.5
Rank
#92 / 175 | 3.8
Facility
3.8
TN AVG
4.3
Rank
#72 / 175 | 5 | 95 | - |
47
Facility
47
TN AVG
38
Rank
#65 / 189 | Raven Lake Healthcare Inc | $11.7MFiscal year ending 12/2024
Facility
$11.7MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#70 / 169 | $6.3MFiscal year ending 12/2024
Facility
$6.3MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#69 / 169 | 54%Fiscal year ending 12/2024
Facility
54%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#62 / 169 | 445263 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Tri State Health and Rehabilitation Center
Quick answers from public records and the community's own listing.01 Who is the owner of Tri State Health and Rehabilitation Center?
Tri State Health and Rehabilitation Center is legally operated by Raven Lake Healthcare Inc, and administered by Magen Ann Smith.
02 Is Tri State Health and Rehabilitation Center in a walkable area?
Tri State Health and Rehabilitation Center has a walk score of 47. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 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.
04 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 September 3, 2027.
05 What is the occupancy rate at Tri State Health and Rehabilitation Center?
Tri State Health and Rehabilitation Center's occupancy is 81.8%.
06 How long has Tri State Health and Rehabilitation Center been in business?
Tri State Health and Rehabilitation Center has been operating for approximately 34 years, based on available licensing and registration records.
07 Are pets allowed at Tri State Health and Rehabilitation Center?
No, Tri State Health and Rehabilitation Center has a no-pet policy.
Updated on
