Nhc Healthcare, Pulaski

993 E College St · Pulaski, TN · 38478 · 9313633572

102 certified beds For profit - Corporation Chain: National Healthcare Corporation

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 88
Staffing 20% 76
Federal penalties 15% 100
Trend 10% 18
Context 5% 85

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.953.48 min · 4.1 strong
RN hours / resident-day0.750.55–0.75
Weekend hours / resident-day3.52≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)none

Inspection citations (7 in the current record)

  • Actual harm · G October 19, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 3, 2022 · Resident Assessment and Care Planning

  • Actual harm · G October 19, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 3, 2022 · Quality of Life and Care

  • Potential for harm · D October 19, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 3, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 19, 2022

    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.

    Corrected December 3, 2022 · Pharmacy Service

  • Potential for harm · F October 19, 2022

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

    Corrected December 3, 2022 · Nutrition and Dietary

  • Potential for harm · E October 19, 2022

    Provide and implement an infection prevention and control program.

    Corrected December 3, 2022 · Infection Control

  • Potential for harm · E October 9, 2019

    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.

    Corrected November 23, 2019 · Pharmacy Service

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445101 · certified since August 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.