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Nursing homeFAID #11852

Tri State Health and Rehabilitation Center

600 SHAWANEE RD, HARROGATE, TN, 37752
(423) 869-5376
ensignservices.net
116 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of TRI STATE HEALTH AND REHABILITATION CENTER
Photo via Google · TriState Health & Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
116
CMS facility ID
445263
Care type
Nursing home
County
Claiborne
Facility name
Tri State Health and Rehabilitation Center
Street address
600 SHAWANEE RD
City / state / ZIP
Harrogate, TN 37752
Phone
(423) 869-5376
Website
ensignservices.net

About this facility — Tri State Health and Rehabilitation Center

Tri State Health and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Harrogate, Tennessee. It is licensed for 116 beds — close to the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 1 senior care facility in Harrogate and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Tri State Health and Rehabilitation Center 23 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $14,852 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Corporation

Registered owners & officers

Rocky Top Healthcare Llc
Direct owner — 100% stake — since 2023
Abbott, Swati
Director — since 2023
Agwunobi, John
Director — since 2023
Albrechtsen, Tyler
Director — since 2023
Blouin, Ann
Director — since 2023
Burnam, Soon
Officer — since 2023
Burton, Spencer
Officer — since 2023
Christensen, Christopher
Director — since 2023
Pannocchia, Luis
Additional disclosable party — since 2025
Parkinson, Mark
Director — since 2023
Port, Barry
Director · Officer — since 2023
Sato, Ami
Officer — since 2024
Shaw, Daren
Director — since 2023
Smith, Barry
Director — since 2023
Smith, Magen
Operational control · Additional disclosable party — since 2024
Snapper, Suzanne
Director · Officer — since 2023
Thatcher, Brent
Officer — since 2023

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-03-21
CMS overall rating
1 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
$14,852 total
Last standard inspection
2025-12-17
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$456 per day (≈ $13,860/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
61% Medicaid · 11% Medicare · 29% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
24% above the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
116
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-12-17Health inspectionComplaint-triggered4 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-11-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-24
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-24
F-0761
D · No harm found
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.
Corrected 2026-01-24
2024-09-26Health inspectionComplaint-triggered8 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-19
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-19
F-0678
K · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-10-19
F-0726
K · Immediate jeopardyFrom a complaint
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.
Corrected 2024-10-19
F-0835
K · Immediate jeopardyFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-10-19
F-0837
K · Immediate jeopardyFrom a complaint
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.
Corrected 2024-10-19
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-19
F-0867
K · Immediate jeopardyFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-10-19
5 earlier / fire-safety inspections (11 citations)
2023-08-16Health inspection2 citations
F-0693
D · No harm found
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.
Corrected 2023-09-16
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-28
2019-12-10Health inspection1 citation
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-12-10
2025-12-17Fire-safety inspection4 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-02
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-12-29
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-29
2023-08-16Fire-safety inspection3 citations
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-09-12
K-0700
D · No harm found
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2023-09-12
K-0754
D · No harm found
Provide properly sized and located linen or trash receptacles.
Corrected 2023-09-12
2019-12-10Fire-safety inspection1 citation
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-01-21

Federal penalties

2024-09-26Fine$7,426
2024-09-26Fine$7,426
Total fines$14,852
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445263.

Visitor reviews

What people say on Google.
4.678 ratings on Google
★★★★★J A · 2025-12-03 · via Google

“This nursing facility was clean, welcoming, and very well taken care of. The staff was friendly every time we visited, and you could tell they truly cared about the residents. I’m really grateful for the experience and would definitely recommend this place.”

★★★★★Marietta Wells · 2025-08-01 · via Google

“My grandmother was a short term resident here for therapy after a fall and broken hip ! All the staff was wonderful not only to her but to us as a family! We were included in all-of her care! From nursing to therapy to bingo games and the Beauty shop she was treated like family ! Thank you Tri State for caring for my granny !”

★★★★★Lisa Hurst · 2025-05-28 · via Google

“Both my parents were at Tri State. They were very well taken care of. It was the best decision for the both of them. The staff Loved them and they Loved the staff. I would do it all over again!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 23 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered