Pulaski HLTH & Rehab CNTR

Name: Pulaski HLTH & Rehab CNTR
Address: 2401 LEE HIGHWAY, Pulaski, VA, 24301, US
Telephone: 5409803111

2401 Lee Highway, Pulaski, VA 24301 · Pulaski County · 90 certified beds · avg 99 residents/day · certified since Jan 1, 1995

Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.87

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ 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.

All citations in the current public record (22)

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
Nov 6, 2025	D · Potential for 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. · from a complaint
Nov 6, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 24, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jul 24, 2024	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.
Jul 24, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 24, 2024	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.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Jun 23, 2023	E · Potential for harm, repeated	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 23, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 19, 2021	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.
Nov 19, 2021	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 19, 2021	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Nov 19, 2021	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Nov 19, 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.
Nov 19, 2021	D · Potential for 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.
Nov 19, 2021	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Year	Citations	Worst severity that year
2021	7	E
2023	3	E
2024	10	E
2025	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	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.87	3.67	3.95	bottom 15% in Virginia; bottom 10% in the U.S.
Registered Nurse hours	0.62	0.66	0.69	top 34% in Virginia; top 46% in the U.S.
Weekend total nurse staffing	2.62	3.21	3.50	bottom 27% in Virginia; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.46	0.48	top 21% in Virginia; top 34% in the U.S.
Total nursing staff turnover (%)	54.4	48.1	45.8	bottom 35% in Virginia; bottom 26% in the U.S.
RN turnover (%)	29.4	48.2	42.9	top 18% in Virginia; top 28% 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 3.39, RN 0.73, weekend 3.10. Staffing rating: 2/5.

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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
America West LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Charles 1994 & Family LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Charles 1994 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Charles 1994 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Edward 1998 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Edward 1998 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
KSS 2000 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
ML 2000 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
MRV West LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Pulaski Holdings I LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/28/2021
Redrock West LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Saul 2012 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
RCZBM West Manager LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/28/2021
Turner, Terressa	Individual	W-2 Managing Employee	NOT APPLICABLE	05/28/2021

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?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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
Highland Ridge Rehab Center	5.2 mi	Dublin, VA	★☆☆☆☆	2/5
Radford Health and Rehab Center	11.3 mi	Radford, VA	★★★★☆	3/5
Holston Health & Rehabilitation	19.4 mi	Wytheville, VA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Pulaski →

Facility data as of CMS processing date 2026-08-01. CCN 495294.

The Care File

Visit checklist — Pulaski HLTH & Rehab CNTR

2401 Lee Highway, Pulaski, VA 24301 · 5409803111

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

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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 495294 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)