Contact Information

TRI STATE HEALTH AND REHABILITATION CENTER
TRI STATE MANOR LLC
600 SHAWANEE RD
HARROGATE, TN 37752
(423) 869-5376
For profit - Corporation
Medicare certification date2: March 21, 1991
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  92 residents

  116 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 1
Facility reported incidents 1
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 92 residents Tennessee Average National Average
Hours by Registered Nurse (RN) per resident per day 28 minutes 35 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 60 minutes 1 hour, 7 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 58 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 7 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • EPIC GROUP LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • HERZOG, LAVERNE
  • SWAIN, WILLIAM

DIRECTOR

  • HERZOG, LAVERNE
  • SWAIN, WILLIAM

MANAGING EMPLOYEE

  • CLANTON, DOUGLAS

Nursing Home Report

In 2016, TRI STATE HEALTH AND REHABILITATION CENTER charged a total of $2,125,344 for 129 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 75.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 26% Alzheimer's 57%
Asthma 55% Cancer 9%
Congestive Heart Failure 65% Kidney Disease 67%
COPD 57% Depression 37%
Diabetes 57% Hyperlipidemia 63%
Hypertension n/a Ischemic Heart Disease 74%
Osteoporosis 9% RA / OA 67%
Schizophrenia 19% Stroke 19%
Demographics
Medicare Beneficiaries 129 Average Age 75
Male 60 Female 69
White 126
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Apr 04, 2018; fire safety inspection: Apr 03, 2018

Health Deficiencies as of 04/04/2018
Freedom from Abuse, Neglect, and Exploitation 1
Quality of Life and Care None
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 04/03/2018
Emergency Preparedness 4
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 1
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also