Pulaski Health Care Center: Meal Tracking Failures - IN
Federal inspectors documented the gaps during a complaint inspection completed August 22. The resident, identified in records only as Resident C, could not eat independently. Her condition required a mechanically altered diet texture. Her care plan called for staff to monitor and record what she consumed. Her physician's orders were specific: chart morning snack intake daily, chart afternoon snack intake daily, chart evening snack at bedtime daily, chart breakfast daily, chart lunch daily, chart dinner daily.
The meal consumption logs told a different story.
Over the last 30 days reviewed by inspectors, the afternoon snack log alone was missing entries on 24 separate dates, stretching from July 19 through August 19. The morning snack log was blank on 12 days. Dinner went unrecorded on four days. Breakfast on three. Lunch on three. Even the evening snack, a single daily entry, was missing for August 7.
The Director of Nursing, interviewed August 20, said she was unable to provide any documentation that the meal consumption logs had been completed on those dates. She offered nothing further.
The administrator was told about the missing records the following afternoon, on August 21. No additional information was provided.
The inspection also flagged a separate but related pattern. A second resident's meal records, distinct from Resident C's, showed missing lunch documentation on 10 days between August 3 and August 21, and missing dinner documentation on 17 days between August 1 and August 21. That resident's gaps ran nearly the entire month.
What the records cannot answer is what actually happened on the days nothing was written down. Whether Resident C received her snacks. Whether anyone sat with her and helped her eat. Whether she went without. A resident who is severely cognitively impaired and dependent on staff for all food and drink cannot advocate for herself if a meal is skipped or reduced. She cannot tell a family member or a nurse that something was missed. The record is the only evidence that care occurred. When the record is blank, the care is unverifiable.
Lewy body dementia, the diagnosis listed in Resident C's chart, affects movement, cognition, and swallowing. Adequate nutrition for residents with this condition requires consistent attention and monitoring precisely because they cannot manage it themselves. The physician's order to chart every intake, every day, existed for a reason. Inspectors found it ignored across dozens of instances.
The care plan, dated March 20 and revised as recently as August 18, four days before the inspection concluded, listed monitoring and recording intakes as an active intervention. The revision came during the same period when afternoon snack entries were going unrecorded almost daily.
CMS rated the harm level as minimal harm or potential for actual harm, and noted that few residents were affected. The citation was tied to a complaint intake, meaning someone had raised concerns before inspectors arrived.
The administrator had no additional information to offer. The Director of Nursing had no documentation to produce. The logs had gaps running back to mid-July. And Resident C, who depends on the people around her to know whether she has eaten, had no way to tell anyone that the record of her care had gone quiet.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pulaski Health Care Center from 2025-08-22 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 22, 2026 · Our methodology
PULASKI HEALTH CARE CENTER in WINAMAC, IN was cited for violations during a health inspection on August 22, 2025.
Federal inspectors documented the gaps during a complaint inspection completed August 22.
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.