200 Medical Center Drive, Harlan, KY 40831 · Harlan County · (606) 573-7250
143 certified beds, about 119 residents a day · For profit - Corporation · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185166 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 27, 2026, inspectors cited 1 health deficiency (the Kentucky average is 2.9, the national average 9.2).
Of 11 health citations since April 2021, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $10,868 in the last three years; the largest was $5,434, and the latest is dated March 21, 2025.
Nurses and nurse aides worked 4.19 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
45.7% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Seky Holding Co., an affiliated group of 9 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to develop a comprehensive care plan to address the residents' use of smokeless tobacco for 3 (Residents 33, 70, and 76) of 5 residents reviewed for tobacco use.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to develop and/or implement a comprehensive person-centered care plan related to dental needs to ensure that medical, nursing, mental and psychosocial needs related to weight loss were met for one (Resident (R) 99) of seven residents reviewed for nutrition out of a sample of 49 residents. R99 sustained pain and a severe weight loss of 20% in the six months between 09/17/2024 and 03/10/2025.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to maintain acceptable parameters of nutritional status such as body weight for one (Resident (R) 99) of seven residents reviewed for nutrition, out of a total sample of 49 residents. R99, who had significant dental breakdown, experienced pain and sustained a severe/significant unplanned weight loss that continued for at least six months after the facility was notified that the resident needed dental care. In addition, the facility failed to timely address the consistency of the resident's food and the need for dental care.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to provide/obtain needed dental care for one of 49 sampled residents (Resident (R) 99) who was reviewed for dental services. The facility failed to obtain needed dental services over a nine-month period for the resident who had multiple broken teeth which needed extraction. During this time, the resident sustained pain, as well as, a severe weight loss over a six and nine-month period.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure it had safe drinking water available when there was a loss of normal water supply for all residents. This had the ability to affect all 132 residents.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to provide Notice of Medicare Non-Coverage (NOMNC) to residents before their coverage ended. Two of 10 residents reviewed (Residents (R) 282 and 279) revealed the NOMNC's were issued after the residents' benefits ended.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to ensure each resident received food and drinks which were palatable, attractive, and at a safe and appetizing temperature for five of 35 sampled residents reviewed for food temperatures (Residents (R)19, R67, R86, R98, and R111). During resident council, residents expressed concerns of their food being served cold when the aides passed their trays. Observation of the breakfast meal, on 03/19/2025, revealed the sausage, eggs, biscuits, oatmeal, milk, and cranberry juice were not at an appetizing and acceptable temperature. Observation of the breakfast meal, on 03/20/2025, revealed the sausage, eggs, oatmeal, and grape juice were not at an appetizing and acceptable temperature.
Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to serve food in accordance with professional standards for food service safety. The census was 132.
Inspectors wroteBased on interview, record review, and facility policy, it was determined the facility failed to develop and implement a comprehensive person-centered care plan (CCP) for one (1) of eleven (11) sampled residents (Resident #8). On [DATE] Resident #8 was rolled out of the bed, onto the floor, by State Registered Nursing Assistant (SRNA) #1, while providing care unassisted by another staff member. Resident #8 was care planned to be a two person staff assist for Activities of Daily Living (ADL's).
Inspectors wroteBased on interview, record review, and facility policy, it was determined the facility failed to ensure residents received appropriate supervision for one (1) of eleven (11) sampled residents (Resident #8). On [DATE] Resident #8 was rolled out of the bed, onto the floor, by State Registered Nursing Assistant (SRNA) #1, while providing care unassisted by another staff member.
Inspectors wroteBased on observation, interview, and facility policy review, it was determined the facility failed to label and store biologicals with currently accepted professional principles for one (1) of five (5) medication carts observed. Four (4) multi-dose vials of Insulin which were not dated when opened were observed on one (1) medication cart on the west wing. In addition, one of the vials of insulin did not have a pharmacy label which included the resident's name, medication name, dose, route, etc.
5 fire safety citations on file: 4 on March 27, 2026, 1 on March 21, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| March 21, 2025 | Fine | $5,434 |
| March 21, 2025 | Fine | $5,434 |
| March 21, 2025 | Payment Denial | 11 days from April 19, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.19 | 3.95 | 3.86 |
| Registered nurses | 0.71 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.49 | 3.42 |
| Nurse aides | 2.90 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 46.4% | 45.8% |
| Registered nurse turnover | 34.8% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.32 on weekdays and 3.86 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.46 in April to June 2025 to 4.19 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.19 | 0.71 | 4.32 | 3.86 | 0.1% | 0 of 90 | 119 |
| Oct to Dec 2025 | 4.27 | 0.79 | 4.38 | 3.99 | 0.0% | 0 of 92 | 117 |
| Jul to Sep 2025 | 4.43 | 0.88 | 4.64 | 3.89 | 0.0% | 0 of 92 | 120 |
| Apr to Jun 2025 | 4.46 | 0.89 | 4.70 | 3.85 | 0.0% | 0 of 91 | 123 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.9 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.6 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 37.1 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.5 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Harlan Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (40.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
40.1% this home
No different from the national rate
US median of homes 51.5% · Kentucky: 38 better, 49 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 55 eligible stays.
14.7% this home
Worse than the national rate
US median of homes 10.7% · Kentucky: 0 better, 12 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 76 eligible stays.
7.8% this home
No different from the national rate
US median of homes 7.1% · Kentucky: 0 better, 6 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 46 eligible stays.
30.4% this home
Median of homes: Kentucky49.5% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
0.0% this home
Median of homes: Kentucky0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 45 residents counted.
9.9% this home
Median of homes: Kentucky2.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 45 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HARLAN NURSING HOME, INC.. CMS links this home to Seky Holding Co., a group of 9 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Seky Holding Co | 5% or greater direct ownership interest | Organization | 100% | 06/18/2003 |
| Fcltc Holdings Inc | 5% or greater indirect ownership interest | Organization | 04/28/2016 | |
| Forcht, Terry | 5% or greater indirect ownership interest | Individual | 06/18/2003 | |
| Dahhan, Abdulkader | Contracted managing employee | Individual | 10/01/1991 | |
| Hensley, Sharon | W-2 managing employee | Individual | 11/08/2005 | |
| Alsip, Roger | Corporate director | Individual | 08/06/2018 | |
| Arnold, Susan | Corporate director | Individual | 01/01/2011 | |
| Tipton, Wesley | Corporate director | Individual | 06/20/2016 | |
| Witt, David | Corporate director | Individual | 08/06/2018 | |
| Alsip, Roger | Corporate officer | Individual | 01/01/2011 | |
| Tipton, Wesley | Corporate officer | Individual | 05/16/2018 | |
| Willis, Jackie | Corporate officer | Individual | 01/01/2011 | |
| Witt, David | Corporate officer | Individual | 01/01/2011 | |
| Dailey, John | Operational/managerial control | Individual | 05/16/2018 | |
| Hensley, Sharon | Operational/managerial control | Individual | 11/08/2005 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.