Has Meadowbrook Healthcare and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Meadowbrook Healthcare and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Meadowbrook Healthcare and Rehabilitation Center?

CMS lists 9 owners and managers, and links the home to The Ensign Group. Legal business name: BIG CREEK HEALTHCARE, INC..

Meadowbrook Healthcare and Rehabilitation Center, Pulaski TN

The record in brief

At its most recent standard inspection, on February 22, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 6 health citations since June 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.19 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.

Health inspections

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.

306/19

106/21

202/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 6 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 22, 2026Standard inspection · 2 citations

D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to complete an assessment for self-administration of medications for 1 (Resident #38) of 5 residents reviewed for medication administration.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure enhanced barrier precautions (EBP) were implemented for 1 (Resident #9) of 25 residents reviewed for EBP.

June 9, 2021Standard inspection · 1 citation

D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 2, 2021

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to implement a baseline care plan for psychotropic medications (antidepressant and antianxiety) for 1 of 19 residents (Resident #185) receiving psychotropic drugs.

June 19, 2019Standard inspection · 3 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 3, 2019

Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by dirty floor with debris, improper food storage, opened and undated food stored in the reach in freezer, ice buildup on the chest freezer, and refrigerator temperatures were not documented daily. The facility had a census of 62 residents, with 60 of those residents receiving a tray from the kitchen.
D

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 3, 2019

Inspectors wroteBased on medical record review, observation, and interview, the facility failed to ensure 1 of 16 (Resident #263) beds were in working order.
D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 3, 2019

Inspectors wroteBased on medical record review and interview, the facility failed to ensure psychiatric services were provided for 1 of 6 (Resident #44) sampled residents reviewed for behavioral health issues.

Fire safety inspections

15 fire safety citations on file: 11 on February 22, 2026, 1 on June 9, 2021, 3 on June 19, 2019.

Every fire safety citation15 citations

D
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · February 22, 2026 · Corrected (the home has a date of correction)
D
Establish roles under a Waiver declared by secretary.

E 26 · February 22, 2026 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · February 22, 2026 · Corrected (the home has a date of correction)
D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · February 22, 2026 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · February 22, 2026 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · February 22, 2026 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · February 22, 2026 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 22, 2026 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · February 22, 2026 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 22, 2026 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · February 22, 2026 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · June 9, 2021 · Corrected (the home has a date of correction)
D
Address subsistence needs for staff and patients.

E 15 · June 19, 2019 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · June 19, 2019 · Corrected (the home has a date of correction)
D
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · June 19, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

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	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.19	3.80	3.86
Registered nurses	0.37	0.60	0.69
All nursing staff on weekends	2.78	3.31	3.42
Nurse aides	1.83
Licensed practical nurses	0.99
Nursing staff turnover (share who left in a year)	not reported	48.9%	45.8%
Registered nurse turnover	not reported	43.2%	42.9%
Administrators who left	not reported

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.

Staffing by quarter, from daily payroll records

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 3.36 on weekdays and 2.78 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.52 in April to June 2025 to 3.19 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	3.19	0.37	3.36	2.78	6.0%	0 of 90	63
Jul to Sep 2025	3.73	0.72	3.97	3.10	3.5%	0 of 92	60
Apr to Jun 2025	3.52	0.51	3.75	2.96	7.7%	1 of 91	62
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	0.7% 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

Staff pay at this home

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.

Official wage estimates for Tennessee

Job	Median	Middle half	Employed
Tennessee, all employers
CNAs (nursing assistants)	$18.27	$17.09 to $19.66	27,040
LPNs and LVNs	$28.31	$23.64 to $30.12	20,830
Registered nurses	$39.18	$36.28 to $45.79	72,200
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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	10.9	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.7	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.3	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.8	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	17.0	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.4	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	22.5	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.1	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	16.1	11.2	12.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Meadowbrook Healthcare 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 (45.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

45.3% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 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. 62 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 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. 62 eligible stays.

Infections that led to a hospital stay

6.9% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 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. 33 eligible stays.

Self-care and mobility at discharge

60.0% this home

Median of homes: Tennessee58.3% · 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. 30 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · 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.

New or worsened pressure ulcers

3.4% this home

Median of homes: Tennessee1.6% · 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.

Medication list given at discharge

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: Tennessee98.7% · 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. 14 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.

Owners and operators

Legal business name: BIG CREEK HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Share	Since
Rocky Top Healthcare LLC	5% or greater direct ownership interest	Organization	100%	08/08/2024
Albrechtsen, Tyler	Corporate director	Individual		08/08/2024
Albrechtsen, Tyler	Corporate officer	Individual		08/08/2024
Burnam, Soon	Corporate officer	Individual		08/08/2024
Sato, Ami	Corporate officer	Individual		09/09/2024
Thatcher, Brent	Corporate officer	Individual		08/08/2024
Raymer, Jennifer	Operational/managerial control	Individual		01/01/2025
Raymer, Jennifer	Adp of the SNF	Individual		02/19/2025
Vollmer, Donald	Adp of the SNF	Individual		01/01/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 22, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 22, 2026: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 9, 2021: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 19, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.78 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

NHC Healthcare, Pulaski
Pulaski, 0.5 mi · 3 of 5 stars · 7 citations
Elk River Health and Nursing Center of Ardmore, Ll
Ardmore, 15.4 mi · 4 of 5 stars · 7 citations
NHC Healthcare, Lawrenceburg
Lawrenceburg, 19.2 mi · 4 of 5 stars · 8 citations
NHC Healthcare, Scott
Lawrenceburg, 19.7 mi · 5 of 5 stars · 4 citations
Countryside Post-Acute and Rehabilitation Center
Lawrenceburg, 20.8 mi · 3 of 5 stars · 15 citations
NHC Healthcare, Oakwood
Lewisburg, 21 mi · 4 of 5 stars · 12 citations
NHC Healthcare, Lewisburg
Lewisburg, 21 mi · 3 of 5 stars · 20 citations

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Meadowbrook Healthcare and Rehabilitation Center's Medicare star rating?: CMS rates Meadowbrook Healthcare and Rehabilitation Center 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Meadowbrook Healthcare and Rehabilitation Center get at its last inspection?: 2 health deficiencies at the standard inspection on February 22, 2026. The Tennessee average is 4.4.
Has Meadowbrook Healthcare and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Meadowbrook Healthcare and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Meadowbrook Healthcare and Rehabilitation Center?: CMS lists 9 owners and managers, and links the home to The Ensign Group. Legal business name: BIG CREEK HEALTHCARE, INC..

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.