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A
Very Good

Harlan Health and Rehabilitation Center

200 Medical Center Drive · Harlan, KY 40831

6065737250 · For profit - Corporation

143 beds119.7 residents153 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Harlan Health and Rehabilitation Center receives an overall staffing grade of A (Very Good). With 4.4329 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.54 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 16.18% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.4329hrs/resident/day▲ 0.54
CMS benchmark: 3.48
RN HPRD
0.8798hrs/resident/day▲ 0.20
Recommended: 0.75
Weekend Drop-off
16.18%
4.6453 weekday → 3.8936 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8423hrs/resident/day
Direct care aides
LPN HPRD
0.5568hrs/resident/day
Licensed practical nurses
Consistency
0.4385std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Harlan County Average-0.03 HPRD
4.46
04.43 HPRD
vs. Kentucky State Average+0.39 HPRD
4.05
04.43 HPRD
vs. National Average+0.54 HPRD
3.90
04.43 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Harlan Health and Rehabilitation Center ★
Harlan · This facility
—
A
4.43290.8798★☆☆☆☆
Mountain View Rehabilitation and Healthcare Center
Pineville
21.7 mi
C
3.35830.9476★★★★☆
Hyden Health and Rehabilitation Center
Hyden
23.8 mi
A
4.41170.879★★★★★
Middlesboro Nursing and Rehabilitation Facility
Middlesboro
27.9 mi
C
3.86370.4343★★★★★
Barbourville Health and Rehabilitation Center
Barbourville
32.2 mi
B
3.76150.9539★☆☆☆☆
Hazard Health and Rehabilitation Center
Hazard
33.3 mi
A
4.9961.0446★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
12
Total Deficiencies
$5,434
Fines Assessed
Mar 21, 2025Health
7 deficiencies cited· Includes actual harm
▼
Jan 24, 2024Health
2 deficiencies cited
▼
Apr 15, 2021Health
1 deficiency cited
▼
Mar 14, 2019Health
2 deficiencies cited
▼

Penalty History

Mar 21, 2025Fine
$5,434
Mar 21, 2025Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.