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NHC Healthcare, Pulaski
993 E College St, Pulaski, TN 38478 (opens Google Maps) · Giles County · (931) 363-3572· 102 certified beds · avg 89 residents/day · certified since Aug 1, 1972 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
2/5
Health inspection rating (on-site)
inspected Oct 19, 2022
2
Serious findings on record
most recent Oct 19, 2022
$0
Fines, last 3 years
3.47
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 3, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 3, 2022 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.
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. F-0656
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
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. F-0812
View all 7 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 19, 2022 | ▲ G · Actual harm, isolated | 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. · F-0656 |
| Oct 19, 2022 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 19, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Oct 19, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Oct 19, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Oct 19, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Oct 9, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
All citationsSerious citations (G–L)
2019
All citations: 1
Serious citations (G–L): 0
2022
All citations: 6
Serious citations (G–L): 2
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.47
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.69
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.15
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.80 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for NHC Healthcare, Pulaski. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain National Healthcare Corporation — 69 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- NHC Healthcare, Scott — Lawrenceburg, TN · overall 5/5
- NHC Healthcare, Sequatchie — Dunlap, TN · overall 5/5
- NHC Healthcare, Smithville — Smithville, TN · overall 3/5
- NHC Healthcare, Somerville — Somerville, TN · overall 5/5
- NHC Healthcare, Sparta — Sparta, TN · overall 3/5
- NHC Healthcare, Springfield — Springfield, TN · overall 2/5abuse
- NHC Healthcare, Tullahoma — Tullahoma, TN · overall 3/5
- NHC Place at Cool Springs — Franklin, TN · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 68 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 445101.