B+
82/100

Meadowbrook Healthcare and Rehabilitation Center Inspection Report, Violations & Safety Grade (PULASKI, Tennessee)

1245 E COLLEGE ST, PULASKI, Tennessee 38478

Phone: 9313637548

CMS Overall:4/5

Overview & Bed Count

Certified Beds
83
Avg Residents/Day
65.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Giles
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health5/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.370.60-0.22
Total Nurse Hours per Resident per Day3.193.82-0.63
CMS Staffing Rating1/52.5/5-
Nursing Staff TurnoverN/A48.6%-

Health Citation History

6 health citations on record

DateCategoryDescriptionSeverity
2026-02-22Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-02-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-06-09Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2019-06-19Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2019-06-19Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2019-06-19Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-22Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2026-02-22Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.D – Moderate Harm Potential
2026-02-22Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2026-02-22Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2026-02-22Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-02-22Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2026-02-22Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2026-02-22Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2026-02-22Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2026-02-22Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2026-02-22Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2021-06-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2019-06-19Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.D – Moderate Harm Potential
2019-06-19Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2019-06-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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