Pulaski HLTH & Rehab CNTR

In the surveyor’s words

From the most serious findings on record at Pulaski HLTH & Rehab CNTR, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF689Jul 24, 2024

  Based on observations, staff interviews, and facility document review, the facility staff failed to ensure a safe environment as evidenced by the absence of documentation addressing the training, health, and/or vaccinations for an animal/pet (Pet #1) present at the facility. Pet #1 was reported to be one (1) of the five (5) animals/pets to frequent the facility. The findings include: On 7/23/24 at approximately 3:50 p.m., the surveyor knocked on a closed office door at the facility. A dog inside the door was heard to bark. A facility staff member opened the door. The dog could not be seen but was heard to be growling. The dog (Pet #1) was placed in a wire pet kennel. The dog was heard to growl while in the wire pet kennel. […]

• No harm, potential for more than minimal, patternF812Jun 23, 2023

  Based on observations, interviews, and document review, the facility staff: (a) failed to ensure food items were stored in a manner to promote food safety for one (1) of the two (2) resident refrigerators on the resident units and (b) failed to ensure the ice machine, located in the kitchen, was clean and in a safe operating condition. The findings include: The facility staff failed to ensure resident food items kept in refrigerators on the nursing units were correctly labeled and stored. On 6/21/23 at 4:35 p.m., the surveyor observed storage of residents' food items on the nursing units with Licensed Practical Nurse (LPN) #1. […]

• No harm, potential for more than minimal, patternF880Nov 19, 2021

  Based on observations, interviews, and policy review, the facility failed to follow hand hygiene protocol for one resident (R146) of three residents observed during medication administration. This deficient practice increased the risk for spread of infection for these residents. The facility's Administration Procedures for All Medications Policy, dated 09/2018 and provided by the facility, read, in pertinent part, Medications will be administered in a safe and effective manner; and Administration: 3. Cleanse hands using antimicrobial soap and water or facility approved hand sanitizer before beginning a med pass, before handling medication, and before contact with a resident. […]

• No harm, potential for more than minimal, isolatedF580Aug 25, 2026

  Based on staff interview, clinical record review and facility document review, the facility staff failed to notify the resident's responsible party of significant weight loss for one of 43 residents, Resident #118. The findings included:A facility policy entitled, Weight Monitoring and Tracking with an effective date of 1/29/2024 was reviewed. The document read in part, The Center has a system in place to weigh, monitor, and track patient's weights. Weights are tracked, monitored, and analyzed by the interdisciplinary team. Under item #8 the document stated, The team will notify the provider and responsible party (RP) of significant weight changes, investigate possible causes of the weight change, discuss interventions, and document a progress note. […]

• No harm, potential for more than minimal, isolatedF656Nov 6, 2025

  Based on observation, staff interview, clinical record review and facility document review, the facility staff failed to consistently implement the comprehensive care plan for one of six residents in the survey sample, resident # 4.The findings included: For resident #4 the facility staff failed to ensure fall mats were in place on each side of the bed per the residents individualized comprehensive care plan. Resident #4's diagnoses included but were not limited to dementia, repeated falls, muscle weakness, anxiety and osteoporosis. On 11/6/25 at 9:15 AM this surveyor visited with resident #4 in their room. The resident was lying in bed and was alert and pleasant. There was no fall mat noted on the left side of the bed where the surveyor stood to speak with resident. […]