Tri State Health And Rehabilitation Center
Harrogate, Claiborne County, Tennessee · CCN 445263 · For-profit (Corporation) · part of The Ensign Group (342 facilities, chain average 3.2 stars)
CMS rates Tri State Health And Rehabilitation Center 1 of 5 overall as of August 2026. 116 certified beds, 101 residents a day on average. 15 citations on record from the current inspection cycles, 5 at immediate jeopardy; 2 fines totalling $14,852.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.43941 hours per resident per day |
|---|---|
| Registered nurses | 0.73275 hours per resident per day |
| Weekend total | 2.91888 hours per resident per day |
| Nursing staff turnover | 38.5% (registered nurses 38.9%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-17 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-11-21 |
| 2025-12-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-24 |
| 2025-12-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-24 |
| 2024-09-26 complaint survey |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
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. Administration Deficiencies · tag F0837 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-19 |
| 2024-09-26 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-28 |
| 2019-12-10 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-10 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-26 | Fine | $7,426 |
| 2024-09-26 | Fine | $7,426 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Rocky Top Healthcare LLC Organization | 5% or greater direct ownership interest | 100% | 2023-10-17 |
| Pannocchia, Luis Individual | adp of the snf | — | 2025-02-07 |
| Smith, Magen Individual | adp of the snf | — | 2025-02-06 |
| Abbott, Swati Individual | corporate director | — | 2023-10-17 |
| Agwunobi, John Individual | corporate director | — | 2023-10-17 |
| Albrechtsen, Tyler Individual | corporate director | — | 2023-10-17 |
| Blouin, Ann Individual | corporate director | — | 2023-10-17 |
| Christensen, Christopher Individual | corporate director | — | 2023-10-17 |
| Parkinson, Mark Individual | corporate director | — | 2023-10-17 |
| Port, Barry Individual | corporate director | — | 2023-10-17 |
| Shaw, Daren Individual | corporate director | — | 2023-10-17 |
| Smith, Barry Individual | corporate director | — | 2023-10-17 |
| Snapper, Suzanne Individual | corporate director | — | 2023-10-17 |
| Burnam, Soon Individual | corporate officer | — | 2023-10-17 |
| Burton, Spencer Individual | corporate officer | — | 2023-10-17 |
| Port, Barry Individual | corporate officer | — | 2023-10-17 |
| Sato, Ami Individual | corporate officer | — | 2024-09-09 |
| Snapper, Suzanne Individual | corporate officer | — | 2023-10-17 |
| Thatcher, Brent Individual | corporate officer | — | 2023-10-17 |
| Smith, Magen Individual | operational/managerial control | — | 2024-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Tri State Health And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Claiborne County.