NHC HealthCare, Pulaski
Nursing Home, Home Care, Hospice Care & Nursing Care · Pulaski, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

NHC HealthCare, Pulaski

Nursing Home, Home Care, Hospice Care & Nursing Care · Pulaski, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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NHC HealthCare, Pulaski accepts Medicare, Medicaid, and private pay.

Overview of Nhc Healthcare, Pulaski

Operating for 33 years on East College Street in Pulaski, Tennessee, Nhc Healthcare, Pulaski is a 102-bed skilled nursing facility managed by NHC Healthcare/Pulaski, LLC under administrator Douglas Wong. The facility accepts Medicare, Medicaid, and private pay and maintains 24-hour staffing across all shifts.

CMS rates the facility at 3 stars overall. The Health Inspection sub-rating trails the Tennessee average. The facility has received 7 citations across 2 inspections since 2019 compared with the state’s average of 15.4. Both serious citations from the October 2022 inspection were corrected with no penalties recorded in the past three years. Staffing and Quality Measures are both above the state average, with Quality Measures sub-rating 34% above Tennessee peers.

Nurse staffing averages 3 hours and 22 minutes per resident per day, about 8% below the Tennessee average. Physical therapist coverage stands out at 8 minutes per resident per day, which iis 60% above the state average, a meaningful figure for a facility where nearly half of new admissions arrive on Medicare for short-term rehabilitation.

Short-stay outcomes reflect that orientation. The rehospitalization rate of 7.3% is 67% better than the Tennessee average of 22.2%, and 58.6% of short-stay residents return successfully to home or community, compared to 50.6% statewide. Occupancy is 89.2%, well above the Tennessee average of 73%, ranking 63rd out of 302 facilities in the state.

Services include short-term rehabilitation, an on-site beauty and barber shop, an outdoor relaxation area, and daily activities programming. NHC Homecare and a Caris Hospice partnership extend care options beyond the facility.

Nhc Healthcare, Pulaski is structured for short-term post-acute rehabilitation and Medicare-covered skilled nursing stays in Giles County, with a care model and discharge record oriented toward residents planning to return home.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 22m per day
Rank #97 / 192Nurse hours — State benchmarkedThis home is ranked 97th out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

1 of 6 metrics below state avg

Standout metric Weekend RN is +62% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 45m per day ▲ 21% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 43m per day ▼ 34% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 29m per day ▲ 16% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 31m per day ▲ 5% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 7m per day ▲ 49% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 39m per day ▲ 62% State avg: 24m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
99 days
Bed community size
102-bed community Rank #137 / 426Bed count — State benchmarkedThis home is ranked 137th out of 426 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation Rank #67 / 385Years in operation — State benchmarkedThis home is ranked 67th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 75 / 100 Rank #24 / 553Walk Score — State benchmarkedThis home is ranked 24th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
89%
Rank #66 / 319Occupancy rate — State benchmarkedThis home is ranked 66th out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Tennessee average: 71.6%
Occupied beds
91 / 102
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000093
CMS Certification Number445101

Ownership & Operating Entity

NHC HealthCare, Pulaski is administered by Douglas Wong.

Owner NameNhc Healthcare/Pulaski, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

3 services
Short-Term Rehabilitation
Nhc Homecare
Caris Hospice

Amenities & Lifestyle

High-Speed Wireless Internet
Cable Tv In Every Room
Housekeeping And Laundry Services
On-Site Beauty And Barber Shop
Daily Activities And Entertainment
Dining Room
Outdoor Area For Relaxation

Contact NHC HealthCare, Pulaski

Health Inspection History

Inspections since 2019
Total health inspections 2

State average N/A


Last Health inspection on Oct 2022

Total health citations
7 Rank #34 / 196Health citations — State benchmarkedThis home is ranked 34th out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.5 Rank #69 / 196Citations per inspection — State benchmarkedThis home is ranked 69th out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 7 citations resulted from standard inspections.

Breakdown of citation severity (last 7 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

5 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 7 years)
Infection Control moderate citation Oct 19, 2022
Corrected

Nutrition moderate citation Oct 19, 2022
Corrected

Pharmacy moderate citation Oct 19, 2022
Corrected

Quality of Care serious citation Oct 19, 2022
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 178
Employees 176
Contractors 2
Staff to resident ratio 2.07 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 53
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,917

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 19 RN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 22 LPN Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 71 CNA Staff are full-time employees. No contractors work on this role. 71
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.3%

112 contractor hours this quarter

Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant7107118,06792100%8.5
Licensed Practical Nurse220225,26892100%9
Registered Nurse190194,59192100%9.5
Nurse Aide in Training200201,6947986%7.9
Physical Therapy Aide9091,6196874%6.4
Speech Language Pathologist5051,3466571%5.9
Respiratory Therapy Technician4049886571%6.8
Clinical Nurse Specialist2028467278%7.3
Qualified Social Worker2027516470%7.3
Dental Services Staff1015316470%8.3
Mental Health Service Worker3035225964%7.9
Nurse Practitioner1014966267%8
Other Dietary Services Staff6064655560%6.8
RN Director of Nursing1014637177%6.5
Qualified Activities Professional1014245459%7.9
Administrator1014005257%7.7
Occupational Therapy Aide2023855358%7.1
Dietitian1013524448%8
Physical Therapy Assistant4043405863%5.7
Respiratory Therapist1012583841%6.8
Medical Director011981415%7
Occupational Therapy Assistant0111422%7
71 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
19 Registered Nurse
% of Days 100%
20 Nurse Aide in Training
% of Days 86%
9 Physical Therapy Aide
% of Days 74%
5 Speech Language Pathologist
% of Days 71%
4 Respiratory Therapy Technician
% of Days 71%
2 Clinical Nurse Specialist
% of Days 78%
2 Qualified Social Worker
% of Days 70%
1 Dental Services Staff
% of Days 70%
3 Mental Health Service Worker
% of Days 64%
1 Nurse Practitioner
% of Days 67%
6 Other Dietary Services Staff
% of Days 60%
1 RN Director of Nursing
% of Days 77%
1 Qualified Activities Professional
% of Days 59%
1 Administrator
% of Days 57%
2 Occupational Therapy Aide
% of Days 58%
1 Dietitian
% of Days 48%
4 Physical Therapy Assistant
% of Days 63%
1 Respiratory Therapist
% of Days 41%
1 Medical Director
% of Days 15%
1 Occupational Therapy Assistant
% of Days 2%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.9
25% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.5
5% better than State average

State average: 19.5

Long-stay resident measures
Significantly above average State avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.7%
21% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.1%
26% better than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.6%
28% worse than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
64% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.8%
30% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.4%
14% worse than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
13% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.2%
62% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.8%
In line with State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than State average

State average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.46
71% better than State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.96
39% better than State average

State average: 1.57

Short-stay resident measures
Significantly above average State avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
23% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.6%
9% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
21% better than State average

State average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 7.3%
67% better than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.7%
In line with State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 69.2%
29% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 58.6%
16% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

30% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

24% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 86
Medicare
14
16.3% of residents
Medicaid
46
53.5% of residents
Private pay or other
26
30.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$414.8K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.2M Rank #97 / 196Revenue — State benchmarkedThis home is ranked 97th out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$414.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$736.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #65 / 196Payroll — State benchmarkedThis home is ranked 65th out of 196 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.7M 59.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #37 / 196Payroll % — State benchmarkedThis home is ranked 37th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.6M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
312 total

Coverage residents most often arrive under.

Medicare 46%
Private pay 30%
Medicaid 24%
Discharges
336 total

Coverage residents most often leave under.

Medicare 38%
Private pay 31%
Medicaid 32%

Places of interest near NHC HealthCare, Pulaski

Address 0.0 miles from city center Info Estimated distance in miles from Pulaski's city center to NHC HealthCare, Pulaski's address, calculated via Google Maps.

Calculate Travel Distance to NHC HealthCare, Pulaski

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Address

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Frequently Asked Questions about NHC HealthCare, Pulaski

Is NHC HealthCare, Pulaski in a walkable area?

NHC HealthCare, Pulaski has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of NHC HealthCare, Pulaski?

According to TN state health department records, NHC HealthCare, Pulaski's license number is 00000093.

What is the occupancy rate at NHC HealthCare, Pulaski?

NHC HealthCare, Pulaski's occupancy is 89%.

Does NHC HealthCare, Pulaski operate as a for-profit or non-profit?

NHC HealthCare, Pulaski is registered as a for-profit in TN.

Who is the administrator of NHC HealthCare, Pulaski?

Douglas Wong is the administrator of NHC HealthCare, Pulaski.

How many beds does NHC HealthCare, Pulaski have?

NHC HealthCare, Pulaski has 102 beds.

Are there photos of NHC HealthCare, Pulaski?

Yes — there are 5 photos of NHC HealthCare, Pulaski in the photo gallery on this page.

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