NHC Healthcare, Pulaski
993 E College St, Pulaski, TN 38478 · Giles County · 102 certified beds · avg 89 residents/day · certified since Aug 1, 1972
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 19, 2022 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 3, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 19, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 3, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (7)
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 |
|---|---|---|
| Oct 19, 2022 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 19, 2022 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 19, 2022 | 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. |
| Oct 19, 2022 | E · Potential for harm, repeated | 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. |
| Oct 19, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 19, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 9, 2019 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | E |
| 2022 | 6 | 2 | G ▲ |
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) | 3.47 | 3.62 | 3.95 | bottom 49% in Tennessee; bottom 35% in the U.S. |
| Registered Nurse hours | 0.69 | 0.57 | 0.69 | top 24% in Tennessee; top 38% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.15 | 3.50 | top 39% in Tennessee; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.71 | 0.39 | 0.48 | top 6% in Tennessee; top 15% in the U.S. |
| Total nursing staff turnover (%) | 41.0 | 48.9 | 45.8 | top 26% in Tennessee; top 39% in the U.S. |
| RN turnover (%) | 14.3 | 43.2 | 42.9 | top 4% in Tennessee; top 7% in the U.S. |
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 3.80, RN 0.75, weekend 3.46. Staffing rating: 4/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/08/2024 |
| Bidwell, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/15/2021 |
| Bidwell, Charles | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2021 |
| Bidwell, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/15/2021 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/20/2010 |
| Dodson, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Dodson, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2019 |
| Jefferson, Kelley | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2024 |
| Jefferson, Kelley | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Kidd, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Kidd, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| National Health Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| National Healthcare Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2000 |
| National Healthcare Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Nelson, Alysson | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/30/2022 |
| Nhc-Op LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2000 |
| Shelly, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/12/2024 |
| Ussery, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Vanguard Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/30/2006 |
| Wong, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 | Flags |
|---|---|---|---|---|---|
| Meadowbrook Healthcare and Rehabilitation Center | 0.5 mi | Pulaski, TN | ★★★★☆ | 5/5 | |
| Elk River Health and Nursing Center of Ardmore, LL | 15.7 mi | Ardmore, TN | ★★★★☆ | 4/5 | |
| NHC Healthcare, Lawrenceburg | 18.7 mi | Lawrenceburg, TN | ★★★★★ | 4/5 | |
| NHC Healthcare, Scott | 19.3 mi | Lawrenceburg, TN | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445101.