Tri State Health and Rehabilitation Center
Nursing Home · Harrogate, TN
CMS certification number445263
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
600 Shawanee RDHarrogate, TN 37752
Claiborne County
- Phone
- (423) 869-5376
- ZIP code
- 37752 – all care providers
Facility details
- Certified beds
- 116
- Residents per day
- 101.3 (87% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Raven Lake Healthcare INC
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- March 21, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.44 (state 3.80 · U.S. 3.86)
- Registered nurses (RN)
- 0.73 (state 0.60 · U.S. 0.69)
- Licensed practical nurses
- 0.76 (state 1.09 · U.S. 0.86)
- Nurse aides
- 1.95 (state 2.12 · U.S. 2.32)
- Weekend total
- 2.92 (state 3.31 · U.S. 3.42)
- Nursing staff turnover
- 38.5 (state 48.9 · U.S. 45.8)%
- RN turnover
- 38.9 (state 43.2 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 17, 2025
- Health deficiencies (last cycle)
- 4.0 (state 4.7 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 15 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-17 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-21 |
| 2025-12-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2024-09-26 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-10-19 |
| 2024-09-26 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-10-19 |
| 2024-09-26 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-10-19 |
| 2024-09-26 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F0837 · Administration Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-10-19 |
| 2024-09-26 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-10-19 |
| 2024-09-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-19 |
| 2024-09-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-19 |
| 2024-09-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-19 |
| 2023-08-16 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-16 |
| 2023-08-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-28 |
| 2019-12-10 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-12-10 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $14,852 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-26 | Fine | $7,426 |
| 2024-09-26 | Fine | $7,426 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Rocky Top Healthcare LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Pannocchia, Luis (individual) | Administrator · NOT APPLICABLE | |
| Smith, Magen (individual) | Administrator · NOT APPLICABLE | |
| Abbott, Swati (individual) | Corporate Director · NOT APPLICABLE | |
| Agwunobi, John (individual) | Corporate Director · NOT APPLICABLE | |
| Albrechtsen, Tyler (individual) | Corporate Director · NOT APPLICABLE | |
| Blouin, Ann (individual) | Corporate Director · NOT APPLICABLE | |
| Christensen, Christopher (individual) | Corporate Director · NOT APPLICABLE | |
| Parkinson, Mark (individual) | Corporate Director · NOT APPLICABLE | |
| Port, Barry (individual) | Corporate Director · NOT APPLICABLE | |
| Shaw, Daren (individual) | Corporate Director · NOT APPLICABLE | |
| Smith, Barry (individual) | Corporate Director · NOT APPLICABLE | |
| Snapper, Suzanne (individual) | Corporate Director · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Burton, Spencer (individual) | Corporate Officer · NOT APPLICABLE | |
| Port, Barry (individual) | Corporate Officer · NOT APPLICABLE | |
| Sato, Ami (individual) | Corporate Officer · NOT APPLICABLE | |
| Snapper, Suzanne (individual) | Corporate Officer · NOT APPLICABLE | |
| Thatcher, Brent (individual) | Corporate Officer · NOT APPLICABLE | |
| Smith, Magen (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Tri State Health and Rehabilitation Center?
Tri State Health and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Tennessee.
How many beds does Tri State Health and Rehabilitation Center have?
It has 116 certified beds and cares for about 101 residents per day.
Has Tri State Health and Rehabilitation Center been fined?
Yes. CMS lists 2 penalties totaling $14,852 in the last three years.
Who owns Tri State Health and Rehabilitation Center?
It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Tri State Health and Rehabilitation Center?
(423) 869-5376. The facility is located at 600 Shawanee RD, Harrogate, TN 37752.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.