Federal inspection record · CMS data as of October 1, 2026
Harlan Health and Rehabilitation Center
200 Medical Center Drive, Harlan, KY · (606) 573-7250
- Certified beds
- 143
- Residents per day
- 112
- Ownership
- For-Profit
- Chain
- Seky Holding Co.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 2, 1981
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Harlan Health and Rehabilitation Center carries 27 inspection points. That is fewer than 38% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide routine and 24-hour emergency dental care for each resident.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2D
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1F
- F
Have enough backup water supply for essential areas of the nursing home.
Resident Rights1D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service1E
- E
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.
Inspection history
2026-03-27
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2025-03-21
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2021-04-15
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
4 h 22 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-21 | Fine | $5,434 |
| 2025-03-21 | Fine | $5,434 |
| 2025-03-21 | Payment Denial · 11 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.3 pts worse | 3.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse | 6.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.9 pts better | 0.0% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 10.0% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse | 41.3% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts worse | 19.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 9.0% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse | 14.9% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.7% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts better | 13.2% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 7.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.3 pts better | 96.8% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 12.3% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.7 pts worse | 4.3% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 85.4% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.1 pts worse | 32.0% | 23.9% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Seky Holding Co | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Alsip, Roger | Corporate Director · Individual | 0% | 9 facilities |
| Alsip, Roger | Corporate Officer · Individual | 0% | 9 facilities |
| Arnold, Susan | Corporate Director · Individual | 0% | 3 facilities |
| Dahhan, Abdulkader | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Dailey, John | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Fcltc Holdings Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Forcht, Terry | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Hensley, Sharon | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hensley, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tipton, Wesley | Corporate Director · Individual | 0% | 9 facilities |
| Tipton, Wesley | Corporate Officer · Individual | 0% | 9 facilities |
| Willis, Jackie | Corporate Officer · Individual | 0% | 8 facilities |
| Witt, David | Corporate Director · Individual | 0% | 9 facilities |
| Witt, David | Corporate Officer · Individual | 0% | 9 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Lee Health And Rehab Center
Pennington Gap, VA · Commonwealth Care Of Roanoke
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0
-
Tri Cities Rehabilitation and Healthcare Center
Cumberland, KY · Venza Care Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $5,346
-
Hancock Manor Nursing Home
Sneedville, TN · Twin Rivers Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0