Winamac, IN

Pulaski Health Care Center

2-star overall rating with 2-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

624 E 13th St, Winamac, IN

(574) 946-3394

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

45

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1999-03-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.77

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.29

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.49

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.08

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.76

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,060

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.18

Baseline 18.37% · Performance 20.89% · Measure score 1.18 · Achievement 1.18 · Improvement 0

Healthcare-associated infections

0.63

Baseline 5.67% · Performance 7.65% · Measure score 0.63 · Achievement 0.63 · Improvement 0

Total nurse turnover

5.39

Baseline 33.33% · Performance 41.67% · Measure score 5.39 · Achievement 5.39 · Improvement 0

Adjusted total nurse staffing

1.43

Baseline 3.67 hours · Performance 3.48 hours · Measure score 1.43 · Achievement 1.43 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.45%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 9.84% · Lower 95% interval 7.62%
Discharge to community	62.79%	50.57% 12.2 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 56.82% · Lower 95% interval 46.1%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	94.12%	95.27% 1.1 pts worse	Numerator 32 · Denominator 34
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 34
Discharge self-care score	34.62%	53.69% 19.1 pts worse	Numerator 9 · Denominator 26
Discharge mobility score	38.46%	50.94% 12.5 pts worse	Numerator 10 · Denominator 26
Pressure ulcers or injuries, new or worsened	5.88%	2.29% 3.6 pts worse	Numerator 2 · Denominator 34 · Adjusted rate 4.85%
Healthcare-associated infections requiring hospitalization	7.65%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 9.38% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage	6.94%	8.2% 1.3 pts worse	Numerator 5 · Denominator 72
Staff flu vaccination coverage	82.29%	42% 40.3 pts better	Numerator 79 · Denominator 96
Discharge function score	34.62%	56.45% 21.8 pts worse	Numerator 9 · Denominator 26
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	22.73%	25.2% 2.5 pts worse	Numerator 5 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	1.6 1.1 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.7	1.5 2.2 pts worse	1.8 1.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.4% 4.6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.7%	3.8% 2.9 pts worse	3.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.5% · Q3 11.4% · Q4 7.3% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	24.6% 23.4 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.6% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	7.3%	5.6% 1.7 pts worse	5.4% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 5.1% · Q3 5.0% · Q4 10.5% · 4Q avg 7.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.5%	23.5% 3 pts better	19.6% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 22.5% · Q3 22.5% · Q4 18.4% · 4Q avg 20.5%
Percentage of long-stay residents who received an antipsychotic medication	7.1%	14.8% 7.7 pts better	16.7% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 8.6% · Q3 8.8% · Q4 8.6% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	17.4%	13.3% 4.1 pts worse	16.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.0%	11.7% 2.3 pts worse	14.9% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 13.5% · Q3 10.5% · Q4 8.3% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.4% 0.2 pts worse	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.2%	1.2% 5 pts worse	1.7% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.7% · Q3 11.4% · Q4 4.9% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.1%	24.2% 3.1 pts better	19.8% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 29.9% · Q3 23.3% · Q4 17.7% · 4Q avg 21.1%
Percentage of long-stay residents with pressure ulcers	8.2%	4.1% 4.1 pts worse	5.1% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 14.0% · Q3 7.1% · Q4 6.1% · 4Q avg 8.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	81.6% 18.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	9.2%	10.5% 1.3 pts better	12.0% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.3% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.4%	79.0% 18.4 pts better	79.7% 17.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.7%	22.4% 3.7 pts better	23.9% 5.2 pts better	Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 16.7% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-22 · Fire 2025-08-22

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-07-26 · Fire 2024-07-26

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-08-24 · Fire 2023-08-24

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-05

F · Potential for more than minimal harm 2025-08-22

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-10-05

F · Potential for more than minimal harm 2025-08-22

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-10-05

F · Potential for more than minimal harm 2025-08-22

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-10-05

E · Potential for more than minimal harm 2025-08-22

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-10-05

E · Potential for more than minimal harm 2025-08-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-10-05

E · Potential for more than minimal harm 2025-08-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-10-05

F · Potential for more than minimal harm 2024-07-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-07-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-07-26

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-07-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-28

C · Minimal harm 2024-07-26

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-08-22

F · Potential for more than minimal harm 2023-08-24

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-09-22

F · Potential for more than minimal harm 2023-08-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-22

F · Potential for more than minimal harm 2023-08-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-22

E · Potential for more than minimal harm 2023-08-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-09-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-12-04

F · Potential for more than minimal harm 2025-08-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-08-22

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-09-12