Cycle 1
Health 2025-03-21 · Fire 2025-03-21
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Harlan, KY
Harlan Health and Rehabilitation Center
1-star overall rating with 2-star inspections with $10,868 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
200 Medical Center Drive, Harlan, KY
(606) 573-7250
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
143
Certified beds
Average residents
120
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Seky Holding Co.
Operator or chain grouping
Approved since
1981-11-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 3 health / 4 staffing / 1 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.88
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.00
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.43
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.89
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
4.27
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,888
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.98% · Performance 23.24% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.09% · Performance 7.84% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.03
Baseline 62.59% · Performance 43.10% · Measure score 5.03 · Achievement 5.03 · Improvement 4.66
Adjusted total nurse staffing
2.46
Baseline 3.49 hours · Performance 3.78 hours · Measure score 2.46 · Achievement 2.46 · Improvement 0.77
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.66% |
10.72%
3.9 pts worse
|
Worse than the National Rate · Eligible stays 76 · Observed rate 27.63% · Lower 95% interval 11.16% |
| Discharge to community | 40.09% |
50.57%
10.5 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 30.91% · Lower 95% interval 30.01% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 54 · Denominator 54 |
| Falls with major injury | 1.85% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 54 |
| Discharge self-care score | 30% |
53.69%
23.7 pts worse
|
Numerator 9 · Denominator 30 |
| Discharge mobility score | 30% |
50.94%
20.9 pts worse
|
Numerator 9 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 9.26% |
2.29%
7 pts worse
|
Numerator 5 · Denominator 54 · Adjusted rate 5.8% |
| Healthcare-associated infections requiring hospitalization | 7.84% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 10.87% · Lower 95% interval 4.44% |
| Staff COVID-19 vaccination coverage | 0.62% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 161 |
| Staff flu vaccination coverage | 25.49% |
42%
16.5 pts worse
|
Numerator 52 · Denominator 204 |
| Discharge function score | 36.67% |
56.45%
19.8 pts worse
|
Numerator 11 · Denominator 30 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 24 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
1.9
1.1 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.7 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.2
0.3 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.1 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.8%
0.5 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 4.1% · Q4 4.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
15.2%
14.9 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.7%
2.5 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 8.8% · Q3 9.7% · Q4 12.6% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.4% |
29.6%
12.8 pts worse
|
19.6%
22.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.3% · Q2 40.3% · Q3 42.2% · Q4 42.9% · 4Q avg 42.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.5% |
17.6%
3.9 pts worse
|
16.7%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 20.9% · Q3 25.0% · Q4 21.3% · 4Q avg 21.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.0% |
17.3%
10.3 pts better
|
16.3%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.5% · Q3 9.2% · Q4 10.1% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.5% |
15.6%
7.1 pts better
|
14.9%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.8% · Q3 10.2% · Q4 10.8% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.7%
1.1 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.1% · Q3 0.6% · Q4 1.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.9% |
19.8%
6.9 pts better
|
19.8%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 3.0% · Q3 18.0% · Q4 19.7% · 4Q avg 12.9% |
| Percentage of long-stay residents with pressure ulcers | 9.9% |
5.5%
4.4 pts worse
|
5.1%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 12.0% · Q3 11.7% · Q4 7.0% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
83.8%
14.9 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 97.6% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.0% |
13.9%
9.1 pts worse
|
12.0%
11 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 25.0% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 9.0% |
1.8%
7.2 pts worse
|
1.6%
7.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 9.1% · Q3 12.0% · Q4 10.0% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% |
83.6%
9.1 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.3% |
24.5%
13.8 pts worse
|
23.9%
14.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.3% · Observed 43.8% · Expected 27.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-15 · Fire 2021-04-15
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-03-14 · Fire 2019-03-14
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-03-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-30
Inspection history
Recent health citations
G · Actual harm
2025-03-21
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-30
G · Actual harm
2025-03-21
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-30
G · Actual harm
2025-03-21
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-04-30
F · Potential for more than minimal harm
2025-03-21
F922 · Environmental Deficiencies
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2025-04-30
D · Potential for more than minimal harm
2025-03-21
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-30
D · Potential for more than minimal harm
2025-03-21
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-30
D · Potential for more than minimal harm
2025-03-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-30
D · Potential for more than minimal harm
2024-01-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-23
D · Potential for more than minimal harm
2024-01-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-23
E · Potential for more than minimal harm
2021-04-15
F761 · Pharmacy Service Deficiencies
Health
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 2021-04-30
E · Potential for more than minimal harm
2019-03-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-04-12
E · Potential for more than minimal harm
2019-03-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-04-12
Penalties and ownership
What sits behind the stars
$5,434
2025-03-21
Fine
Fine · fine $5,434
Fine
$5,434
2025-03-21
Fine
Fine · fine $5,434
Fine
$0
2025-03-21
Payment Denial
Payment Denial · denial start 2025-04-19 · 11 days
11 day denial
Ownership
Seky Holding Co
5% Or Greater Direct Ownership Interest · Organization
Alsip, Roger
Corporate Director · Individual
Alsip, Roger
Corporate Officer · Individual
Arnold, Susan
Corporate Director · Individual
Dahhan, Abdulkader
Contracted Managing Employee · Individual
Dailey, John
Operational/Managerial Control · Individual
Fcltc Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Forcht, Terry
5% Or Greater Indirect Ownership Interest · Individual
Hensley, Sharon
Operational/Managerial Control · Individual
Hensley, Sharon
W-2 Managing Employee · Individual
Tipton, Wesley
Corporate Director · Individual
Tipton, Wesley
Corporate Officer · Individual
Willis, Jackie
Corporate Officer · Individual
Witt, David
Corporate Director · Individual
Witt, David
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Lee Health And Rehab Center
Pennington Gap, VA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
#2
Tri Cities Rehabilitation and Healthcare Center
Cumberland, KY
3-star overall rating with 2-star inspections with $5,346 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Hancock Manor Nursing Home
Sneedville, TN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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