Pulaski Hlth & Rehab Cntr

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

62.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 253 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 119 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.69 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.10 hrs/resident/day on weekends vs 3.51 on weekdays — 12% thinner on weekends. RN hours go from 0.83 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · D2025-11-06 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review and facility document review, the facility staff failed to consistently implement the comprehensive care plan for one of six residents in the survey sample, resident # 4.The findings included: For resident #4 the facility staff failed to ensure fall mats were in place on each side of the bed per the residents individualized comprehensive care plan. Resident #4's diagnoses included but were not limited to dementia, repeated falls, muscle weakness, anxiety and osteoporosis. On 11/6/25 at 9:15 AM this surveyor visited with resident #4 in their room. The resident was lying in bed and was alert and pleasant. There was no fall mat noted on the left side of the bed where the surveyor stood to speak with resident. The minimum data set (MDS) assessment with an assessment reference date of 10/24/25 assigned the resident a brief interview for mental status (BIMS) score of 2, which is an indication of severe cognitive impairment. The MDS stated the resident #4…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, clinical record review, and facility document review, the facility staff failed to maintain a complete and/or accurate clinical record for (1) one of (2) two closed record reviews, Resident #1. The findings included:For Resident #1 the facility staff failed to accurately document a skin assessment and/or nursing progress note on 6/20/25 after an allegation of staff to resident abuse was reported and a nurse performed a skin assessment of the resident. Resident #1's diagnosis list indicated diagnoses that included, but were not limited to, Congestive Heart Failure, Altered Mental Status, Aphasia, Cerebral Infarction, and Cognitive Communication Deficit. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 5/30/25, assigned the resident a brief interview for mental status (BIMS) summary score of 3 out of 15 for cognitive abilities, indicating the resident was severely impaired in cognition. A Skin assessment dated [DATE] read in part, .Large areas of bruising…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and facility document review, the facility staff failed to ensure a safe environment as evidenced by the absence of documentation addressing the training, health, and/or vaccinations for an animal/pet (Pet #1) present at the facility. Pet #1 was reported to be one (1) of the five (5) animals/pets to frequent the facility. The findings include: On 7/23/24 at approximately 3:50 p.m., the surveyor knocked on a closed office door at the facility. A dog inside the door was heard to bark. A facility staff member opened the door. The dog could not be seen but was heard to be growling. The dog (Pet #1) was placed in a wire pet kennel. The dog was heard to growl while in the wire pet kennel. Pet #1 had been observed, earlier in the survey, to walk unleashed in the facility with its owner nearby. On 7/23/24 at 4:10 p.m., the surveyor interviewed the facility's Administrator with the Vice-President of Operations present. The Administrator reported the animal/pet in question was considered a center pet. The Administrator reported no injury had ever…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-24 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN) notification for 1 of 3 residents selected for SNF Beneficiary Notification Review (Resident #98). The findings included: For Resident #98, the facility staff failed to provide a SNF ABN notification when the resident was discharged from Medicare Part A services with skilled benefit days remaining while continuing to reside in the facility. Resident #98's diagnosis list indicated diagnoses, which included, but not limited to Pneumonitis, Dysphagia, Generalized Muscle Weakness, and Dementia. The minimum data set (MDS) with an assessment reference date (ARD) of 1/27/24 assigned the resident a brief interview for mental status (BIMS) summary score of 1 out of 15 indicating the resident was severely cognitively impaired. Resident #98's clinical record included a progress note by the discharge planner dated 3/04/24 10:16 AM which read in part, SW [social worker] [name omitted] spoke to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-24 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and facility document review, the facility staff failed to ensure timely revision of the comprehensive plan of care for 1 of 20 current sampled residents, Resident #53. The findings included: For Resident #53, the facility staff failed to revise the person-centered care plan to discontinue the need for thickened liquids per the physician's order. Resident #53's diagnosis list indicated diagnoses, which included, but not limited to Dementia, Dysphagia, Transient Ischemic Attack (TIA), and Cognitive Communication Deficit. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 06/23/2024, assigned the resident a brief interview for mental status (BIMS) summary score of 9 out of 15 for cognitive abilities, indicating Resident #53 was moderately impaired in cognition. Resident #53's physician's orders included an active order dated 11/14/2023, which read in part, Regular diet .Thin Liquids consistency . Surveyor reviewed Resident #53's comprehensive care plan with a revision date of 07/01/2024, that read in part, Focus .on a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-24 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review and facility document review, the facility staff failed to provide services that met professional standards of clinical practice for 1 of 20 residents, Resident #21. The findings included: For Resident #21, the facility staff failed to transcribe a verbal medical provider order for the administration of ten (10) units of insulin on 07/13/2024 and failed to document the administration of the insulin. Resident #21's diagnosis list indicated diagnoses, which included, but not limited to, Type 2 Diabetes Mellitus, Cognitive Communication Deficit, Presence of Cardiac Pacemaker, and Cerebral Infarction (stroke). The most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 07/09/2024, assigned the resident a brief interview for mental status (BIMS) summary score of 3 out of 15 for cognitive abilities, indicating the resident was severely cognitively impaired. A review of the medication administration record (MAR) for July 2024 revealed on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-24 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, clinical record review and facility document review, the facility staff failed to provide the proper amount of fluid to maintain an appropriate fluid and electrolyte balance for one of 20 current residents in the survey sample, Resident #66 (R 66). The findings included: R 66's diagnoses included but were not limited to acute and chronic respiratory failure, chronic obstructive pulmonary disease, essential hypertension and peripheral vascular disease. R 66's most recent minimum data set (MDS) assessment with an assessment reference date (ARD) of 6/25/24 assigned the resident a brief interview for mental status (BIMS) score of 15 out of 15 indicating they were cognitively intact. Review of R 66's clinical record indicated they were on a 1,200 ml/day fluid restriction per a physician's order written on 7/5/2024. On 7/23/24 at 10:20 AM this surveyor noted that resident had a measured water pitcher with 900 ml (milliliter) capacity, 300 ml's were remaining, a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-24 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to act upon drug regimen review recommendations for 2 of 5 residents selected for drug regimen review (Resident #32 and Resident #54). The findings included: 1. For Resident #32, the facility staff failed to provide evidence of the 8/26/23, 9/26/23, 10/27/23, 1/26/24, and 3/25/24 drug regimen reviews being acted upon by the medical provider. Resident #32's diagnosis list indicated diagnoses, which included, but not limited to Dementia, Anxiety Disorder, and Generalized Muscle Weakness. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 7/16/24 assigned the resident a brief interview for mental status (BIMS) summary score of 7 out of 15 indicating the resident was severely cognitively impaired. Documentation within Resident #32's clinical record indicated drug regimen reviews (DRRs) were completed on 8/26/23, 9/26/23, 1/26/24, and 3/25/24, each with pharmacist recommendations. Surveyor was unable to locate the recommendation reports in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-24 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review and facility document review, the facility staff failed to ensure that residents are free of any significant medication errors for 1 of 20 sampled residents, Resident #25. The findings included: For Resident #25, the facility staff failed to follow provider orders for the administration of the medications, Invanz and Culturelle for 14 (fourteen) days. Invanz is an antibiotic indicated for the treatment of moderate to severe infections, Culturelle is a probiotic used to maintain digestive health. Resident #25's diagnosis list indicated diagnoses, which included, but not limited to, Type 2 Diabetes Mellitus, Age-Related Physical Debility, Heart Failure, Overactive Bladder, Chronic Kidney Disease, and Urinary Tract Infection. Resident #25's most recent minimum data set (MDS) with an assessment reference date (ARD) of 6/11/24 assigned the resident a brief interview for mental status (BIMS) summary score of 5 out of 15 for cognitive abilities, indicating the resident is severely cognitively impaired. A provider's progress note dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-24 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interview, staff interview, clinical record review and facility document review, the facility staff failed to ensure safe and secure storage of medications for one of 20 current residents in the survey sample, Resident #66 (R66). The findings included: R66's diagnoses included but were not limited to acute and chronic respiratory failure, chronic obstructive pulmonary disease, essential hypertension and peripheral vascular disease. R66's most recent minimum data set (MDS) assessment with an assessment reference date (ARD) of 6/25/24 assigned the resident a brief interview for mental status (BIMS) score of 15 out of 15 indicating they were cognitively intact. On 7/21/24 at 2:20 PM this surveyor noted that R66 had a bottle of Tums, a bottle of saline nasal spray and a partial tube of diclofenac sodium topical gel on their bedside table. They stated these medications are some they had been taking routinely for a number of years and that the nurses, rub that on my legs, I don't know what I'd do without it referring to the diclofenac tube. The clinical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFEWORKS REHAB — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

13 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VA