Pulaski Health Care Center: Wound Care Delay Cited - IN
Federal inspectors cited the facility following a complaint investigation completed November 13, 2025. The citation describes a wound that had been misclassified as a stage 2 when it had already progressed to a stage 3 with slough, a condition in which dead tissue accumulates in the wound bed and signals more serious deterioration than a stage 2 designation would indicate. The facility eventually issued a new treatment order. It came a month late.
Pressure wounds are staged by severity. A stage 2 involves partial-thickness skin loss. A stage 3 means the wound has gone deeper, through the full thickness of the skin, and slough in the wound bed is a marker that healing has stalled or reversed. The difference matters for treatment. It also matters for how quickly a care team is supposed to respond.
Inspectors noted the wound had not worsened further during that month-long gap. That detail appears in the report, but it does not soften what the citation describes: a facility that recognized the wound had advanced, failed to correctly classify what it was looking at, and then took four weeks to write a new order after the problem became clear.
The facility's own policy, provided to inspectors by the Director of Nursing on the day of the inspection, described exactly what should have happened. The policy called for the physician to evaluate wound progress during resident visits and to guide the care plan when wounds are not healing as expected or when new wounds develop. It specified that current treatment approaches should be reviewed when they are no longer working. The gap between that written standard and what actually occurred is what the citation documents.
Inspectors classified the harm level as minimal harm or potential for actual harm, and noted that few residents were affected. The citation was tied to a specific complaint, intake number 2659878, meaning someone, a resident, a family member, or a staff member, raised a concern that prompted the investigation.
Pulaski Health Care Center is a nursing facility in Winamac, a small county seat in northwestern Indiana. The inspection that produced this citation was a complaint survey, not a routine annual inspection.
The resident at the center of this citation is not named in the report. What the report does say is that when the wound's true stage was finally recognized, the facility moved, just not quickly. A month passed between when the wound should have been reclassified and when the new treatment order arrived. During that month, the wound held steady. It did not improve.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pulaski Health Care Center from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 2, 2026 · Our methodology
PULASKI HEALTH CARE CENTER in WINAMAC, IN was cited for violations during a health inspection on November 13, 2025.
Federal inspectors cited the facility following a complaint investigation completed November 13, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.