Highland Ridge Rehab Center was operated by Landmark Operations Holdings, LLC in the first quarter of 2026, based on information from the Centers for Medicare and Medicaid Services (CMS). Landmark Operations Holdings, LLC has remained the owner of this Pulaski County nursing home since July 1, 2019.
The facility is identified as for-profit.
In that timeframe, Highland Ridge Rehab Center received a CMS overall rating of 2, placing it below Virginia’s average nursing home rating of 3.0. CMS assessments incorporate inspections, staff levels, and key quality measures affecting residents.
The report shows the facility served an average daily census of 120.9 residents in early 2026, with its total capacity set at 132 beds. Highland Ridge Rehab Center is not affiliated with any hospital.
No fines or penalties were reported for Highland Ridge Rehab Center in the first quarter of 2026.
Altogether, Pulaski County, Virginia, included two nursing homes registered as for-profit operations.
According to data from the U.S. Census Bureau, the number of older adults nationwide continues to climb, while the population of younger Americans shrinks. The 65-plus demographic rose by 13% from 2020 to 2024, in contrast with a 1.7% drop for those under 18. Over the last century, the United States’ older population has expanded greatly, from 4.9 million in 1920 to more than 61 million as of 2024.
Research published in 2021 estimates about half of older adults—nearly 28 million people—may require long-term services and supports, with over one-third eventually needing 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.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Highland Ridge Rehab Center | Landmark Operations Holdings, LLC | For profit – Corporation | 2 | 120.9 |
| Pulaski Health & Rehab Center | Pulaski Holdings I, LLC | For profit – Limited Liability company | 4 | 97.6 |
This article uses information compiled from the Centers for Medicare and Medicaid Services. The original source can be accessed here.


