Meadowbrook Healthcare and Rehabilitation Center

1245 E College St · Pulaski, TN · 38478 · 9313637548

83 certified beds For profit - Corporation Chain: The Ensign Group

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 77 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 81
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (8 in the current record)

  • Potential for harm · D February 22, 2026

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

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · D February 22, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 20, 2026 · Infection Control

  • Potential for harm · D July 18, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 21, 2023 · Resident Rights

  • Potential for harm · F July 18, 2023 · found via complaint

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected August 21, 2023 · Infection Control

  • Potential for harm · D June 9, 2021

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

    Corrected July 2, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D June 19, 2019

    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.

    Corrected August 3, 2019 · Resident Rights

  • Potential for harm · D June 19, 2019

    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.

    Corrected August 3, 2019 · Quality of Life and Care

  • Potential for harm · F June 19, 2019

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

    Corrected August 3, 2019 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445443 · certified since April 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.