Tri State Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 78 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
Bottom 25% in TN · Meets national RN staffing standard · Worst in THE ENSIGN GROUP chain · $14,852 in fines · Abuse citation
What this means for your family
This facility is highly regarded for its physical therapy and social activities, which can be great for short-term recovery. However, there are serious, recurring reports regarding lack of communication during medical emergencies and unprofessional management. We strongly recommend that you visit during off-hours and ask the administrator specifically about their protocol for notifying families of falls or changes in condition.
Google Reviews
Google Reviews
78 reviews on Google“Tri State Health and Rehabilitation Center receives a high volume of positive feedback, particularly regarding the friendliness of the staff and the effectiveness of their therapy department. However, there is a concerning pattern of negative reviews from family members citing serious lapses in patient safety, poor communication during medical incidents, and unprofessional conduct by management. Families should weigh the praise for the facility's atmosphere against these significant reports of neglect and lack of transparency.”
Quality Themes
Tap a score for detailsStrengths
- Warm, friendly nursing and support staff
- Effective physical therapy department
- Clean and well-maintained facility
- Engaging activities and social events
Concerns
- Lack of communication regarding patient falls and injuries (mentioned by 2 reviewers)
- Understaffing leading to slow call light response times (mentioned by 2 reviewers)
- Unprofessional or rude management/administrative behavior (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 83 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy department here; could you tell us more about how the therapists work with residents to regain their mobility?
- 2How does the nursing team ensure that families are kept fully informed and updated immediately if a resident has a fall or a change in their health status?
- 3With the high praise for your social events, what kind of daily activities or group outings do you have planned for the residents this month?
- 4How do you manage call light response times during the night or during shift changes to ensure residents get help quickly?
- 5What is the protocol for handling a medical emergency after hours, and how is the on-call physician notified?
- 6We noticed some mentions of great support staff here; how do you foster that warm and friendly culture among your care team?
Personalized based on this facility's data
Key Review Excerpts
“I came in one day to find blood on her sheets and went to find her at the nurses station. I asked why there is blood on my moms sheets and the her nurse said she had fell and had a skin tear on her arm when I looked I noticed her wrist was broken so badly it was deformed looking. They never apologized, no phone call that she fell, not one word from them.”
“When I voiced my concerns with the DON about call light times due to lack of staff and my grandma needing to use the restroom she was very rude with me and talked badly about the staff she had. It’s very unprofessional.”
“The staff at Tristate, keep our Dad well groomed and looking sharp. The physical therapy department worked with Dad to help him”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
3
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints that triggered a recent inspection revealing serious concerns about nursing staff competency, care planning, and resident protection from abuse, with management and quality assurance issues also cited. The facility has recurring problems with fire safety systems and general care quality across multiple surveys. While the facility reports correcting these deficiencies, the pattern of complaint-driven inspections and repeated safety violations warrants careful consideration before choosing this facility.
Dec 17, 2025Routine7
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Dec 17, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Sep 26, 2024Complaint8
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Nursing and Physician Services Deficiencies
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.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
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
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning Deficiencies
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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 16, 2023Routine5
Quality of Life and Care Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Dec 10, 2019Routine2
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal Penalties
Fine
Sep 26, 2024
$7,426
Fine
Sep 26, 2024
$7,426
Ownership & Operations
Who Operates This Facility
Tri State Health and Rehabilitation Center
for profit
Chain Affiliation
The Ensign Group
342 facilities nationwide
Chain avg rating: 3.2/5 · Rank 328 of 328 (Worst)
Ownership & Management
Owners
Rocky Top Healthcare LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
78 reviews from families & visitors
Official Website
Visit tristatehealthandrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Middlesboro Nursing and Rehabilitation Facility
6.7 miNursing Home · Middlesboro, KY
Mountain View Rehabilitation and Healthcare Center
8.7 miNursing Home · Pineville, KY
Buchanan Place
9.4 miNursing Home · New Tazewell, TN
Claiborne Health and Rehabilitation Center
9.6 miNursing Home · Tazewell, TN