Meadowbrook Healthcare and Rehabilitation Center

Name: Meadowbrook Healthcare and Rehabilitation Center
Address: 1245 E COLLEGE ST, Pulaski, TN, 38478, US
Telephone: 9313637548

1245 E College St, Pulaski, TN 38478 · Giles County · 83 certified beds · avg 63 residents/day · certified since Apr 1, 2002

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.13

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (6)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 22, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 22, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 9, 2021	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 19, 2019	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 19, 2019	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 19, 2019	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 2).

Year	Citations	Worst severity that year
2019	3	F
2021	1	D
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.13	3.62	3.95	bottom 24% in Tennessee; bottom 19% in the U.S.
Registered Nurse hours	0.36	0.57	0.69	bottom 17% in Tennessee; bottom 17% in the U.S.
Weekend total nurse staffing	2.73	3.15	3.50	bottom 27% in Tennessee; bottom 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.39	0.48	bottom 14% in Tennessee; bottom 14% in the U.S.
Total nursing staff turnover (%)	0.0	48.9	45.8	—
RN turnover (%)	0.0	43.2	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.19, RN 0.37, weekend 2.78. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Rocky Top Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/08/2024
Albrechtsen, Tyler	Individual	Corporate Director	NOT APPLICABLE	08/08/2024
Albrechtsen, Tyler	Individual	Corporate Officer	NOT APPLICABLE	08/08/2024
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	08/08/2024
Raymer, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Raymer, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	02/19/2025
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Thatcher, Brent	Individual	Corporate Officer	NOT APPLICABLE	08/08/2024
Vollmer, Donald	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
NHC Healthcare, Pulaski	0.5 mi	Pulaski, TN	★★★☆☆	2/5
Elk River Health and Nursing Center of Ardmore, LL	15.4 mi	Ardmore, TN	★★★★☆	4/5
NHC Healthcare, Lawrenceburg	19.2 mi	Lawrenceburg, TN	★★★★★	4/5
NHC Healthcare, Scott	19.7 mi	Lawrenceburg, TN	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Pulaski →

Facility data as of CMS processing date 2026-08-01. CCN 445443.

The Care File

Visit checklist — Meadowbrook Healthcare and Rehabilitation Center

1245 E College St, Pulaski, TN 38478 · 9313637548

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445443 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)