Cardinal Care Strategies
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 28 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (24 vs median 6)
- High staff turnover (98%)
- High RN turnover (100%)
Bottom 25% in IN · Critically understaffed (RN) · Above average staffing · Very high staff turnover · No penalties on record · Special Focus Facility (CMS) · Abuse citation
What this means for your family
The facility has shown a significant decline in quality over the last several years, with multiple reports of neglected hygiene and poor staff engagement. If you are considering this facility, you should demand a tour of the actual resident living areas rather than just the common areas and ask for a clear, written explanation of their staffing ratios.
Google Reviews
Google Reviews
28 reviews on Google“Cardinal Care Strategies receives highly polarized feedback, with a significant decline in quality reported in recent years. While some visitors praised the facility's physical appearance and management during a 2017 remodel, recent reviews consistently highlight severe understaffing, poor hygiene, and unprofessional conduct by staff. Families report ongoing issues with communication, billing transparency, and basic resident care.”
Quality Themes
Tap a score for detailsStrengths
- Visually appealing, remodeled facility
- Clean exterior and common areas (historically)
- Occasional helpful nursing staff
Concerns
- Chronic understaffing leading to neglected hygiene and delayed care (mentioned by 4 reviewers)
- Poor communication and lack of administrative responsiveness (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 31 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent challenges with staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily hygiene and call-light responses?
- 2I noticed the facility has undergone recent renovations; how do you balance maintaining these beautiful common areas with ensuring consistent, high-quality care for the 104 residents?
- 3Communication is very important to our family; what is your standard process for keeping families updated on changes in a resident’s health or care plan?
- 4With the current staffing ratings, how do you manage shift handovers to ensure that no resident’s medical needs are overlooked during transition periods?
- 5Could you walk me through how your team handles medical emergencies and at what point you involve family members in those critical decisions?
- 6What steps are you taking to improve the dining experience and nutritional oversight, as we want to ensure our loved one has consistent access to quality meals?
Personalized based on this facility's data
Key Review Excerpts
“Spent time after time asking why we were going OVER a week without a shower and Karen simply said because they were understaff.”
“My mother never seems to get changed and has said shes waited all day a few different times. There is a few good nurses but most seem to just sit around on their phone and do nothing.”
“There was a 25% increase in my mother's rate and I have been trying for 2 weeks to find out why there was such a substantial increase. The last time I visited, the common area was filthy and they seemed short staffed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
10
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints about protection from abuse and neglect, with these issues persisting across surveys from 2023 through December 2025, indicating ongoing concerns about resident safety. The facility shows recurring problems in abuse prevention, medication management, and infection control, with many deficiencies appearing corrected but then reoccurring in later inspections, suggesting systematic challenges in maintaining consistent care standards.
Jan 9, 2026Routine21
Nutrition and Dietary Deficiencies
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.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Jan 9, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Dec 12, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Aug 25, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
May 27, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Mar 21, 2025Complaint2
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Cardinal Care Strategies
for profit
Ownership & Management
Owners
Pulaski Memorial Hospital
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit thestrategies.net
Medicare data downloads
Original nursing home datasets
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