Tri State Health And Rehabilitation Center
600 Shawanee Rd, Harrogate, TN, 37752
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 116 · avg 91 residents/day
- Total nursing staff turnover
- 37.1% — lower than most Tennessee nursing homesTennessee avg: 48.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 38.9% — near the Tennessee averageTennessee avg: 43.0% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Tennessee averageTennessee avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $14,852 total
Medicare certification
- CMS Certification Number
- 445263
- Certified beds
- 116 beds · avg 91 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Raven Lake Healthcare Inc
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (18 on record)
- Luis c Pannocchia
Adp of The Snf · since 2025
- Magen Ann Smith
Adp of The Snf · since 2025
- Ami Sato
Corporate Officer · since 2024
- Ann Scott Blouin
Corporate Director · since 2023
- Barry m Smith
Corporate Director · since 2023
- Barry Port
Corporate Officer · since 2023
+ 12 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Tri State Heatlh And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 15)
- D0602·Dec 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0761·Dec 17, 2025
Pharmacy Service Deficiencies
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.
- D0689·Dec 17, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0684·Dec 17, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0867·Sep 26, 2024Complaint
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E0842·Sep 26, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- K0837·Sep 26, 2024Complaint
Administration Deficiencies
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.
- K0835·Sep 26, 2024Complaint
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Federal penalties
By year
- 20242 fines · $15K
Most recent events
- Sep 26, 2024Fine · $7,426
- Sep 26, 2024Fine · $7,426
Largest single fine on record: $7,426.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Dec 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Tri State Health And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.