Pulaski Hlth & Rehab Cntr
2401 Lee Highway, Pulaski, VA 24301 · Pulaski County · (540) 980-3111
90 certified beds, about 99 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495294 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 24, 2024, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 22 health citations since November 2021 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 3.39 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
54.4% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Lifeworks Rehab, an affiliated group of 64 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.
711/21
306/23
1007/24
211/25
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 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
3E
0F
Potential for minimal harm
0A
0B
0C
November 6, 2025Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased 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.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased 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.
July 24, 2024Standard inspection · 10 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased 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.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased 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).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased 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.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased 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.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased 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).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased 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).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased 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.
- D 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.
Inspectors wroteBased 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).
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide laboratory services to meet the needs of the resident for 1 of 20 sampled residents (Resident #22).
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observations, staff interview, clinical record review and facility document review, the facility staff failed to provide appropriate assistive devices to residents who need them to maintain or improve their ability to eat independently for 1 of 20 sampled residents, Resident #21.
June 23, 2023Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and document review, the facility staff: (a) failed to ensure food items were stored in a manner to promote food safety for one (1) of the two (2) resident refrigerators on the resident units and (b) failed to ensure the ice machine, located in the kitchen, was clean and in a safe operating condition.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews, and document reviews, the facility staff failed to provide care and/or treatment according to medical provider orders for three (3) of 30 sampled residents (Resident #101, Resident #32, Resident #301).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure residents were free of significant medication errors for 1 of 30 residents in the survey sample, Resident #92.
November 19, 2021Standard inspection · 7 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and policy review, the facility failed to follow hand hygiene protocol for one resident (R146) of three residents observed during medication administration. This deficient practice increased the risk for spread of infection for these residents. The facility's Administration Procedures for All Medications Policy, dated 09/2018 and provided by the facility, read, in pertinent part, Medications will be administered in a safe and effective manner; and Administration: 3. Cleanse hands using antimicrobial soap and water or facility approved hand sanitizer before beginning a med pass, before handling medication, and before contact with a resident. R146 was admitted to the facility on [DATE], according to the undated admission Record found in the electronic medical record (EMR) under the Admissions tab, with diagnoses including history of stroke and dysphagia. [...]
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on facility policy, clinical record review, and staff and family interviews, the facility failed to ensure family of one resident of five residents (Resident (R) 19) reviewed for advanced directives was adequately informed to make decisions related to the resident's code status. Code status options were not reviewed with R19's Resident Representative (RP)/Power of Attorney (POA) to determine the resident's wishes related to Cardio-Pulmonary Resuscitation (CPR).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy, clinical record review, and staff interview, the facility failed to ensure timely reporting of allegations of abuse for one of one abuse report reviewed. An allegation of verbal abuse occurred in the presence of staff, in which Resident (R) 78 verbally abused R242, and the allegation was not reported to administration.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on facility policy, clinical record review, and staff interviews, the facility failed to ensure an allegations of abuse were investigated for one of one abuse report reviewed. An allegation of verbal abuse occurred in the presence of staff, in which Resident (R) 78 verbally abused R242, and the allegation was not investigated.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observations, interviews, record review, and policy review, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours of admission to the facility for one resident (Resident (R)1) of six residents reviewed for baseline care plans in a total sample of 18 residents. This deficient practice increased the risk for R1 not to receive the appropriate care.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to assess fall risk, develop a fall care plan, and provide supervision to prevent accidents for one (Resident (R) 1) of one resident reviewed for accidents in a total sample of 18 residents.
- D 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.
Inspectors wroteBased on facility policy, clinical record review, and staff interview, the facility failed to ensure appropriate care of a gastrostomy (g, a tube inserted through the wall of the abdomen directly into the stomach)-tube during medication administration for one resident of three residents (Resident (R) 146) who were reviewed during medication administration.
Fire safety inspections
18 fire safety citations on file: 6 on June 23, 2023, 11 on November 19, 2021, 1 on January 3, 2019.
Every fire safety citation18 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Have properly installed electrical wiring and gas equipment.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have properly located and lighted "Exit" signs.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- E Meet other general requirements.
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 | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.39 | 3.76 | 3.86 |
| Registered nurses | 0.73 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.10 | 3.29 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 54.4% | 48.1% | 45.8% |
| Registered nurse turnover | 29.4% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.54 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 3.51 on weekdays and 3.10 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.24 in April to June 2025 to 3.39 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 | 3.39 | 0.73 | 3.51 | 3.10 | 0.3% | 0 of 90 | 99 |
| Oct to Dec 2025 | 3.29 | 0.69 | 3.44 | 2.89 | 0.0% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.08 | 0.63 | 3.22 | 2.70 | 0.0% | 0 of 92 | 99 |
| Apr to Jun 2025 | 3.24 | 0.61 | 3.40 | 2.84 | 0.0% | 0 of 91 | 97 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.3 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.9 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.2 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.8 |
Owners and operators
Legal business name: PULASKI OPERATIONS LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pulaski Holdings I LLC | 5% or greater direct ownership interest | Organization | 100% | 05/28/2021 |
| America West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 & Family LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Kss 2000 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Ml 2000 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Mrv West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Redrock West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Turner, Terressa | W-2 managing employee | Individual | 05/28/2021 | |
| Rczbm West Manager LLC | Operational/managerial control | Organization | 05/28/2021 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on November 6, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 24, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 24, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- 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 July 24, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Highland Ridge Rehab Center Dublin, 5.2 mi · 1 of 5 stars · 46 citations
- Radford Health and Rehab Center Radford, 11.3 mi · 4 of 5 stars · 27 citations
- Holston Health & Rehabilitation Wytheville, 19.4 mi · 1 of 5 stars · 68 citations
- Wythe Cnty Community Hosp Ecu Wytheville, 20.2 mi · 5 of 5 stars · 6 citations
- The Wybe and Marietje Kroontje Health Care Center Blacksburg, 20.7 mi · 1 of 5 stars · 22 citations
- Heritage Hall Blacksburg Blacksburg, 21 mi · 4 of 5 stars · 22 citations
- Hillsville Health & Rehab Center Hillsville, 21.4 mi · 5 of 5 stars · 5 citations
- Heritage Hall-Rich Creek Rich Creek, 22.3 mi · 4 of 5 stars · 20 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Pulaski Hlth & Rehab Cntr's Medicare star rating?
- CMS rates Pulaski Hlth & Rehab Cntr 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pulaski Hlth & Rehab Cntr get at its last inspection?
- 10 health deficiencies at the standard inspection on July 24, 2024. The Virginia average is 14.3.
- Has Pulaski Hlth & Rehab Cntr been fined?
- CMS lists no fines in the last three years.
- Does Pulaski Hlth & Rehab Cntr 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 Pulaski Hlth & Rehab Cntr?
- CMS lists 14 owners and managers, and links the home to Lifeworks Rehab. Legal business name: PULASKI OPERATIONS LLC.
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.