# Meadowbrook Healthcare and Rehabilitation Center Meadowbrook Healthcare and Rehabilitation Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Pulaski, TN, CMS Certification Number 445443, with 83 certified beds and about 65 residents per day. CMS rates it 4/5 overall (health inspections 5/5, staffing 1/5, quality measures 3/5). ## Key facts - Status: Active CMS certification - Address: 1245 E College St, Pulaski, TN 38478 (Giles County) - Ownership type: For profit - Corporation - Operator (legal business name): [Big Creek Healthcare, Inc](https://carefield.site/operator/op-big-creek-healthcare-inc) - CMS chain: [The Ensign Group](https://carefield.site/chain/cms-chain-507) — 347 facilities - Phone: 9313637548 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445443 ## Inspection record 6 inspections in the CMS window (latest 2026-02-22); 21 citations (6 health, 15 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-02-22 — [E-0004](https://carefield.site/deficiency/cms-e0004) Develop and maintain an Emergency Preparedness Program (EP). — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [E-0026](https://carefield.site/deficiency/cms-e0026) Establish roles under a Waiver declared by secretary. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0222](https://carefield.site/deficiency/cms-k0222) Add 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0521](https://carefield.site/deficiency/cms-k0521) Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0712](https://carefield.site/deficiency/cms-k0712) Have simulated fire drills held at unexpected times. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [K-0923](https://carefield.site/deficiency/cms-k0923) Have proper medical gas storage and administration areas. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [F-0554](https://carefield.site/deficiency/cms-f0554) Allow residents to self-administer drugs if determined clinically appropriate. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-22 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-06-09 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-06-09 — [F-0655](https://carefield.site/deficiency/cms-f0655) Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-19 — [E-0015](https://carefield.site/deficiency/cms-e0015) Address subsistence needs for staff and patients. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-19 — [K-0232](https://carefield.site/deficiency/cms-k0232) Have corridors or aisles that are unobstructed and are at least 8 feet in width. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-19 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-19 — [F-0584](https://carefield.site/deficiency/cms-f0584) Honor 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-19 — [F-0742](https://carefield.site/deficiency/cms-f0742) Provide 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 1 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.18708 (state avg 3.81924, US 3.90085) - RN: 0.37471 - Nursing staff turnover: n/a% ## Owners and managers of record (CMS disclosures) - [Rocky Top Healthcare LLC](https://carefield.site/owner/org-rocky-top-healthcare-llc) — Direct owner, 100%, since 2024-08-08 - Jennifer Raymer — Operational / managerial control, since 2025-01-01 ## Nearby nursing homes - [Nhc Healthcare, Pulaski](https://carefield.site/facility/cms-445101) — 0.7 km, CMS overall 4/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445443&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445443&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445443&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445443&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445443&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445443&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-445443 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.