Cardinal Care Strategies
Muncie, Indiana
Skilled nursing facility in Muncie, IN with 104 certified beds and a 1-star CMS overall rating.
Cardinal Care Strategies is a skilled nursing facility in Muncie, Indiana (Delaware County), with 104 Medicare/Medicaid-certified beds.
Address: 4600 E Jackson St, Muncie, IN 47303. Phone: (765) 282-1416.
Ownership: For profit - Corporation. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 2, quality measures 1.
Levels of care
- Skilled nursing
Facility details
- Street address
- 4600 E Jackson St
- City
- Muncie
- State
- Indiana
- ZIP code
- 47303
- Phone
- (765) 282-1416
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 155400
- County
- Delaware
- Ownership Type
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 104
- Avg Daily Residents
- 74.8
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1989-08-17
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 2
- Quality Measure Rating
- 1
- Special Focus Facility
- SFF Candidate
- Total Nurse Hours Per Resident Day
- 4.27034
- Rn Hours Per Resident Day
- 0.4288
- Latitude
- 40.1931
- Longitude
- -85.332
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 155400. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Certified beds
- 104
- Residents per day
- 73
- Ownership
- For profit - Corporation
- Health citations (latest)
- 22
- Fines
- 0
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.2 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 2.6 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Below averageHow residents are actually doing.
✗ Worse than the state average. State 4.3 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
Flags CMS attaches to this home
- ⚑ Abuse citation. Care Compare flags homes cited for abuse where residents were harmed (severity G or higher) in the latest inspection or in the past 12 months, or cited repeatedly for abuse where residents could have been harmed (severity D or higher). [11]
- ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.37 · LPN 1.02 · Nurse aide 3.55. What the home's payroll records show.
RN 0.71 · LPN 0.89 · Nurse aide 2.42. What CMS predicts a home with these residents' needs would staff.
RN 0.36 · LPN 0.98 · Nurse aide 3.41. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with IN and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 4.94
✓ Better than the state average. State 3.73 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.37
✗ Worse than the state average. State 0.68 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.39
✗ Worse than the state average. State 1.46 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 3.55
✓ Better than the state average. State 2.28 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 4.54
✓ Better than the state average. State 3.26 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.24
✗ Worse than the state average. State 0.46 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.02
✗ Worse than the state average. State 0.06 · National 0.07
- Nursing staff turnover (%, lower is better)
- 64.3%
✗ Worse than the state average. State 45.9% · National 45.3%
- RN turnover (%, lower is better)
- 50.0%
✗ Worse than the state average. State 40.5% · National 42.5%
- Administrators who left (people, lower is better)
- 3
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.46
State 1.52 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
274.8 points — in IN that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in IN [10]
- 5 ★
- 0.000-9.000
- 4 ★
- 9.001-24.000
- 3 ★
- 24.001-42.000
- 2 ★
- 42.001-72.000
- 1 ★ (this home)
- >72.000
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jan 9, 2026 | 22 (8) | 325 | 1 | 0 | 325 |
| Prior cycles (2 and 3) | Dec 17, 2024 | 25 (20) | 124 | 1 | 0 | 124 |
Health citations per inspection
Jan 9, 2026
Dec 17, 2024
Jan 30, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jan 9, 2026
Dec 17, 2024
Jan 30, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Freedom from Abuse and Neglect and Exploitation 9
- Resident Rights 4
- Quality of Life and Care 2
- Resident Assessment and Care Planning 2
- Infection Control 2
- Nutrition and Dietary 1
- Pharmacy Service 1
- Administration 1
- Emergency Preparedness 1
What the latest fire-safety inspection cited
- Smoke 3
- Miscellaneous 2
- Egress 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 3 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 40 | E · 8 pts 8 | F · 16 pts 2 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (54) [2]
Inspection on May 13, 2026 · 2 citations
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 20, 2026) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 20, 2026) · From a complaint
Inspection on Apr 22, 2026 · 2 citations
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 30, 2026) · From a complaint
-
E
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 30, 2026) · From a complaint
Inspection on Jan 9, 2026 · 15 citations
-
F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
F0559 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
E
Assure the security of all personal funds of residents deposited with the facility.
F0570 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
Inspection on Dec 12, 2025 · 3 citations
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026) · From a complaint
-
J
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026) · From a complaint
-
J
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 15, 2025) · From a complaint
Inspection on Aug 25, 2025 · 1 citation
-
D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 12, 2025) · From a complaint
Inspection on May 27, 2025 · 3 citations
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 9, 2025) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 9, 2025) · From a complaint
-
E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 9, 2025) · From a complaint
Inspection on Mar 21, 2025 · 2 citations
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 11, 2025) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 11, 2025) · From a complaint
Inspection on Dec 17, 2024 · 5 citations
-
E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 15, 2025)
-
C
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 15, 2025)
-
D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jan 15, 2025)
-
D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 15, 2025)
-
D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 15, 2025)
Inspection on Nov 14, 2024 · 2 citations
-
E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 13, 2024) · From a complaint
-
E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 13, 2024) · From a complaint
Inspection on Sep 20, 2024 · 1 citation
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 3, 2024) · From a complaint
Inspection on May 21, 2024 · 2 citations
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 6, 2024) · From a complaint
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 6, 2024) · From a complaint
Inspection on Apr 3, 2024 · 1 citation
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 6, 2024) · From a complaint
Inspection on Mar 14, 2024 · 1 citation
-
D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 6, 2024) · From a complaint
Inspection on Jan 30, 2024 · 7 citations
-
D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
-
E
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
-
D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
-
D
Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
-
D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024)
Inspection on Jan 3, 2024 · 3 citations
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024) · From a complaint
-
D
Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024) · From a complaint
Inspection on Dec 6, 2023 · 3 citations
-
F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024) · From a complaint
-
D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 14, 2024) · From a complaint
Inspection on Oct 23, 2023 · 1 citation
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 9, 2023) · From a complaint
All fire-safety citations (21) [3]
Inspection on Jan 9, 2026 · 7 citations
-
D
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 4, 2026)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Feb 13, 2026)
-
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 6, 2026)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 11, 2026)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Feb 6, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 6, 2026)
-
E
Provide properly sized and located linen or trash receptacles.
K0754 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 19, 2026)
Inspection on Dec 17, 2024 · 5 citations
-
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 16, 2025)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2025)
-
D
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 27, 2025)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 20, 2025)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 16, 2025)
Inspection on Jan 30, 2024 · 9 citations
-
E
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
F
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.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K0232 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
E
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 0 State avg 0.2 · National 0.9
- Total fined
- $0 State avg 8,174 · National 30,351
- Payment denials
- 1 Periods with no Medicare/Medicaid payment for new admissions
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Dec 12, 2025 | Payment Denial | — | 54 days from Dec 12, 2025 |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 91.7
✗ Worse than the state average. State 93.7 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 87.8
✗ Worse than the state average. State 95.1 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 1.7
✓ Better than the state average. State 3.8 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 6.7
✓ Better than the state average. State 25.5 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 2.6
✓ Better than the state average. State 5.3 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 34.2
✗ Worse than the state average. State 23.5 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 57.1
✗ Worse than the state average. State 13.7 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.0 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 23.0
✗ Worse than the state average. State 11.1 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 21.2
✗ Worse than the state average. State 10.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 1.4
✗ Worse than the state average. State 0.3 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 2.1
✗ Worse than the state average. State 1.1 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 29.0
✗ Worse than the state average. State 22.4 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 4.4
✗ Worse than the state average. State 3.5 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 54.7
✗ Worse than the state average. State 81.9 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 9.7
✗ Worse than the state average. State 1.1 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 50.0
✗ Worse than the state average. State 79.2 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.9
- 2.4
✗ Worse than the state average. State 1.5 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.8
- 1.5
✗ Worse than the state average. State 1.4 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 13.3
- 6.4
✓ Better than the state average. State 10.9 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 21.9
- 53.9
✗ Worse than the state average. State 21.8 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Corporation
- Legal business name
- PULASKI MEMORIAL HOSPITAL
- Certified for
- Medicare and Medicaid
- Certified beds
- 104
- Residents per day (average)
- 72.7
- In Medicare/Medicaid since
- Aug 17, 1989
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Delaware
- Located in a hospital
- No
Company profiles: Pulaski Memorial Hospital (30 homes, average 2.6 stars)
Owners, officers and managers (4) [6]
Corporate Officer
- BARRY, THOMAS (individual, NOT APPLICABLE, since 06/27/2021)
- MALOTT, GREGG (individual, NOT APPLICABLE, since 06/27/2021)
5% Or Greater Direct Ownership Interest
- PULASKI MEMORIAL HOSPITAL (organization, 100%, since 06/27/2021)
Contracted Managing Employee
- YOUNG, CATHY (individual, NOT APPLICABLE, since 06/27/2021)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
Written by Attendant Homes
Have a question or some feedback? Send Attendant Homes a message.
See more from Attendant Homes →
Reviews (0)
Sign in to write a review.
No reviews yet. Be the first to write one.