Fulton Nursing & Rehab

1510 Bluff Street · Fulton, MO · 65251 · 5736420202

100 certified beds For profit - Corporation Chain: James & Judy Lincoln

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 84
Staffing 20% 44
Federal penalties 15% 77
Trend 10% 67
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day2.843.48 min · 4.1 strong
RN hours / resident-day0.290.55–0.75
Weekend hours / resident-day2.57≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)1 · $8,018

Inspection citations (51 in the current record)

  • Potential for harm · D April 9, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 26, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 31, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 17, 2026 · Infection Control

  • Potential for harm · E November 19, 2025 · found via complaint

    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.

    Corrected November 27, 2025 · Nursing and Physician Services

  • Potential for harm · E June 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.

    Corrected July 30, 2025 · Resident Rights

  • Potential for harm · D June 27, 2025

    Assess the resident when there is a significant change in condition

    Corrected July 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 27, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 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.

    Corrected July 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 27, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 30, 2025 · Quality of Life and Care

  • Potential for harm · D June 27, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 30, 2025 · Quality of Life and Care

  • Potential for harm · D June 27, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected July 30, 2025 · Quality of Life and Care

  • Potential for harm · F June 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 30, 2025 · Infection Control

  • Potential for harm · F June 27, 2025

    Implement a program that monitors antibiotic use.

    Corrected July 30, 2025 · Infection Control

  • Potential for harm · F June 27, 2025

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected July 30, 2025 · Infection Control

  • Potential for harm · E June 27, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 30, 2025 · Infection Control

  • No harm found · C June 27, 2025

    Post nurse staffing information every day.

    Corrected July 30, 2025 · Nursing and Physician Services

  • Potential for harm · D May 14, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 23, 2025 · Resident Rights

  • Potential for harm · D May 14, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G October 2, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 2, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · E 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.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · E 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.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · D May 2, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 2, 2024

    Assess the resident when there is a significant change in condition

    Corrected June 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2024

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected June 10, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 2, 2024Fine$8,018

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265663 · certified since December 16, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.