Missouri › Callaway County › Fulton
Fulton Nursing & Rehab
1510 Bluff Street, Fulton, MO 65251
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Fulton Nursing & Rehab, in Fulton, Missouri, is certified for 100 beds under for-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (16, 19, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 2.8 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 63.6%.
Compared with county, state and nation
| Measure | This facility | Callaway Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 50 | 50 | 31 | 28.7 |
| Citations per 100 beds | 50.0 | 75.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.8 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 63.6% | 64.3% | 56.1% | 45.8% |
| Fines listed | $8,018 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Jun 2025, 2 May 2024.
Severity mix: G ×1 D ×14 E ×26 F ×4 C ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 May 2026 |
| 14 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 Feb 2026 |
| 31 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 17 Jan 2026 |
| 19 Nov 2025 | F0727 | 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. | E | Complaint investigation | 27 Nov 2025 |
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0578 | 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. | E | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Jul 2025 |
| 27 Jun 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 30 Jul 2025 |
| 14 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 23 May 2025 |
| 14 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Apr 2025 |
| 2 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 30 Sep 2024 |
| 2 May 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0584 | 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. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0625 | 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. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0758 | 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. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0761 | 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. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0801 | 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. | E | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Jun 2024 |
| 2 May 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 10 Jun 2024 |
| 21 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 2 Apr 2024 |
| 24 Oct 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Complaint investigation | 4 Dec 2023 |
| 13 Apr 2023 | F0584 | 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. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0758 | 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. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0761 | 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. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0625 | 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. | D | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | C | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 23 May 2023 |
| 13 Apr 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | C | Standard survey | 23 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Oct 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 63.6%, RNs 62.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.7% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 38.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Fulton, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| N & R of Fulton, Inc. | Operational/managerial control | NOT APPLICABLE | 08/01/1998 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Callaway County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Kingdom Care Senior Living | Fulton | 36 | 4 | 3 | 4 | 27 | 75.0 | — | 15 Apr 2026 |
| Riverview Nursing Center | Mokane | 60 | 4 | 5 | 2 | 12 | 20.0 | — | 21 May 2025 |
| Fulton Manor Care Centerabuse icon | Fulton | 52 | 1 | 1 | 1 | 50 | 96.2 | — | 15 Jun 2026 |
All 4 facilities in Callaway County
Questions and answers
How many deficiencies has Fulton Nursing & Rehab been cited for?
50 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Fulton Nursing & Rehab been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Fulton Nursing & Rehab compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Fulton Nursing & Rehab?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include N & R of Fulton, Inc.. Individual owners and managers are not listed on this site.
When was Fulton Nursing & Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 27 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.