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1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Fulton Manor, Inc. runs the day-to-day operations at Fulton Manor Care Center, a 52-bed nursing home over at 520 Manor Drive in Fulton, Missouri. Paying for care is simple since they take Medicare, Medicaid, and private pay. If you’re coming to visit, the neighborhood is walkable enough to run a few quick errands on foot, but you’ll still need a car for most things.
The building is usually about 87 percent full, and people stay for around 145 days on average. This means the staff splits their time pretty evenly between short-term rehab and long-term care. To keep up with everything, the nurses and aides spend about 3 hours and 21 minutes helping each resident every day, all under the watch of an on-site doctor.
State inspectors drop by regularly to check that the building is meeting health and safety codes. Recent visits turned up a few areas that need more attention from management, specifically when it comes to staff oversight, following clinical care plans, passing out medications properly, and basic resident safety. These findings keep the facility’s total citation count above zero.
Older adults can look into the specialized rehab programs, quiet common lounges, and dedicated guest rooms for visiting family members. The daily schedule pairs these therapy routines with regular meals and a monthly activities calendar to help everyone stay social. Anyone checking out local care options can contact the admissions office directly to check on open beds, verify insurance coverage, or set up a time to walk through the building.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 184th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 6m per day | ▼ 80% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▲ 24% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 36m per day | ▲ 12% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 14m per day | ▲ 6% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 40% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 28% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%Fulton Manor Care Center is legally operated by Fulton Manor, Inc., and administrated by Rebecca Baker-Bey.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 117 | 35 | This facility has 234% more total deficiencies than a typical Missouri nursing home (117 vs. MO avg 35).↑ 234% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 14.6 | 4.4 | This facility has 232% more deficiencies per year than a typical Missouri nursing home (14.6 vs. MO avg 4.4).↑ 232% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 11.7 | 5 | This facility has 134% more deficiencies per inspection than a typical Missouri nursing home (11.7 vs. MO avg 5).↑ 134% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Missouri nursing home (10 vs. MO avg 7).↑ 43% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Apr 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
41 of 47 citations resulted from standard inspections; 4 of 47 resulted from complaint investigations; and 2 of 47 came from combined inspections (standard and complaint).
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
43% more staff per resident than Missouri average
7% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
4 total: 1 full-time employee and 3 contractors.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.5 hoursAssists with medical care and medications.
14 total: 9 full-time employees and 5 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
53 total: 34 full-time employees and 19 contractors.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,729 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 19 | 53 | 8,847 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 9 | 5 | 14 | 2,818 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 3 | 3 | 6 | 711 | 60 | 65% | 10.3 |
| Administrator | 6 | 0 | 6 | 702 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 643 | 66 | 72% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 617 | 66 | 72% | 9.3 |
| Nurse Aide in Training | 1 | 0 | 1 | 605 | 55 | 60% | 11 |
| RN Director of Nursing | 1 | 0 | 1 | 498 | 64 | 70% | 7.8 |
| Dietitian | 2 | 0 | 2 | 452 | 57 | 62% | 7.3 |
| Registered Nurse | 1 | 3 | 4 | 276 | 24 | 26% | 11.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 167 | 46 | 50% | 3.6 |
| Mental Health Service Worker | 3 | 0 | 3 | 161 | 24 | 26% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 87 | 10 | 11% | 8.7 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 78 | 48 | 52% | 1.2 |
| Qualified Social Worker | 0 | 1 | 1 | 23 | 14 | 15% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 16 | 3 | 3% | 5.2 |
| Medical Director | 0 | 1 | 1 | 14 | 3 | 3% | 4.7 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.2
25% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
21% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
19.2%
In line with Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
9.8%
52% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.2%
5% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
16% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.1%
78% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.6%
42% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
7.6%
37% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
22.3%
74% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
20.2%
8% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.98
43% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.90
66% worse than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
48% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
7.0%
215% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.6%
41% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
42% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
53.5%
6% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Fulton Manor Care Center from 2012–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #222 / 286Payroll — State benchmarkedThis home is ranked 222nd out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Fulton's city center to Fulton Manor Care Center's address, calculated via Google Maps.
Add your location
Fulton Manor Care Center is located in FULTON, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Heisinger Bluffs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Jefferson City | 111
Facility
111
MO AVG
97
Rank
#156 / 454 |
49.5%
Facility
49.5%
MO AVG
66.6%
Rank
#370 / 428 | -26% | 3.36
Facility
3.36
MO AVG
3.74
Rank
#184 / 276 | +42% | -10% | $8.1k
Facility
$8.1k
MO AVG
$76.9k
Rank
#206 / 283 | 17
Facility
17
MO AVG
36.5
Rank
#61 / 281 | 5.7
Facility
5.7
MO AVG
5.7
Rank
#169 / 281 | - | 56 | - |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | Hb Operations Holdco LLC | $5.4M
Facility
$5.4M
MO AVG
$8.4M
Rank
#183 / 286 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#138 / 286 | 68.1%
Facility
68.1%
MO AVG
45.6%
Rank
#43 / 286 | 265794 | ||||
| Cottages of Lake St. Louis |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Lake St Louis (Lake Saint Louis) | 60
Facility
60
MO AVG
97
Rank
#343 / 454 |
81.7%
Facility
81.7%
MO AVG
66.6%
Rank
#95 / 428 | +23% | 6.04
Facility
6.04
MO AVG
3.74
Rank
#6 / 276 | -32% | +62% | $17.7k
Facility
$17.7k
MO AVG
$76.9k
Rank
#195 / 283 | 11
Facility
11
MO AVG
36.5
Rank
#25 / 281 | 2.8
Facility
2.8
MO AVG
5.7
Rank
#22 / 281 | 2 | 55 | - |
13
Facility
13
MO AVG
45
Rank
#486 / 563 | Cottages Master LLC | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#74 / 286 | $5.5M
Facility
$5.5M
MO AVG
$3.3M
Rank
#67 / 286 | 55.4%
Facility
55.4%
MO AVG
45.6%
Rank
#133 / 286 | 265860 | ||||
| Breeze Park – Lutheran Senior Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 |
74.9%
Facility
74.9%
MO AVG
66.6%
Rank
#146 / 428 | +12% | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Armour Oaks Senior Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Fulton Manor Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Fulton | 52
Facility
52
MO AVG
97
Rank
#384 / 454 |
86.5%
Facility
86.5%
MO AVG
66.6%
Rank
#68 / 428 | +30% | 3.35
Facility
3.35
MO AVG
3.74
Rank
#184 / 276 | -51% | -10% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 47
Facility
47
MO AVG
36.5
Rank
#214 / 281 | 6.7
Facility
6.7
MO AVG
5.7
Rank
#211 / 281 | - | 43 | - |
63
Facility
63
MO AVG
45
Rank
#141 / 563 | Fulton Manor Inc | $3.7M
Facility
$3.7M
MO AVG
$8.4M
Rank
#248 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#222 / 286 | 64.8%
Facility
64.8%
MO AVG
45.6%
Rank
#61 / 286 | 265760 |
The legal owner and operator of Fulton Manor Care Center is Fulton Manor, Inc..
Fulton Manor Care Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Fulton Manor Care Center's license number is 053112.
According to MO state health department records, Fulton Manor Care Center's license expires on October 31, 2027.
Fulton Manor Care Center's occupancy is 87%.
Rebecca Baker-Bey is the administrator of Fulton Manor Care Center.
Fulton Manor Care Center has 52 beds.
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