Highland Ridge Rehab Center was identified as the largest nursing home in Pulaski County for the first quarter of 2026, the Centers for Medicare and Medicaid Services (CMS) reports.
The facility offered 132 available beds, which was 21 more than the Pulaski County average at that time. On average, they cared for 120.9 residents throughout the quarter.
The CMS gave Highland Ridge Rehab Center an overall rating of 2 out of 5, lower than the statewide nursing home average of 3 in Virginia.
Pulaski Health & Rehab Center ranked as Pulaski County’s second largest nursing home for the quarter, providing 90 beds.
Highland Ridge Rehab Center recorded no penalties or fines during the first quarter of 2026.
Pulaski County, Virginia, was home to two for-profit nursing homes in total.
U.S. Census Bureau projections show a growing older adult population nationwide, while numbers of younger groups shrink. Americans age 65 and older rose by 13% between 2020 and 2024, and the population under 18 declined by 1.7%. The nation’s number of older adults has soared over the last century, climbing from 4.9 million in 1920 to more than 61 million in 2024.
A study from 2021 estimates that nearly half of those 65 and older, or about 28 million people, may need long-term services and supports. The report also notes that more than a third could require care in a nursing home.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Highland Ridge Rehab Center | 2 |
| 2 | Pulaski Health & Rehab Center | 4 |
The Centers for Medicare and Medicaid Services provided information for this report. The data source is available here.


