| Fulton Nursing & Rehab | |
| 1510 Bluff Street, Fulton, Missouri 65251 | |
| (573) 642-0202 | |
| Name | Fulton Nursing & Rehab |
|---|---|
| Location | 1510 Bluff Street, Fulton, Missouri |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 100 |
| Occupancy Rate | 66.3% |
| Medicare ID (CCN) | 265663 |
| Legal Business Name | N & R of Fulton, Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | James & Judy Lincoln (56 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1598751943 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | N & R of Fulton, Inc. |
| Doing Business As | Fulton Nursing & Rehab |
| Address | 1510 N Bluff St, Fulton, MO 65251 |
| Phone Number | 573-642-0202 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.76 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.29 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.43 | 0.86 |
| Nurse aide hours per resident per day | 2.05 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.52 | 3.42 |
| RN hours per resident per day on the weekend | 0.24 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 63.6% | 45.8% |
| Registered nurse turnover | 62.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,018 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 9, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Jan 14, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 22, 2026 |
| Dec 31, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Jan 17, 2026 |
| Nov 19, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by Nov 27, 2025 |
| Jun 27, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 30, 2025 |
| Jun 27, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Jul 30, 2025 |
| May 14, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 14, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Oct 2, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| May 2, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jun 10, 2024 |
| May 2, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| May 2, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.43 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.62 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.13 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.92 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.47 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.64 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.72 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.6 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.71 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.29 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.45 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.96 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.45 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.25 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 37.95 | 15.38 |