5/5
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.
5/5
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.
Situated in Fulton, Missouri, Bridgeway Residential Care Facility stands as an inviting home that specializes in assisted living and memory care services. Their holistic approach extends to encompass diabetes care, attentive non ambulatory support, and a dedicated staffing team committed to auxiliary services. Indoors, residents find inviting common areas fostering social connection, while engaging on-site activities create a vibrant atmosphere. The hallmark of this community is its family-style living, accompanied by round-the-clock supervision and person-centered care services, ensuring a nurturing environment that uplifts residents’ self-esteem.
Nestled within close proximity to recreational facilities, cultural events, and essential medical services, Bridgeway Residential Care Facility offers a comprehensive setting that prioritizes both well-being and engagement. With a focus on assisted living and memory care, coupled with their range of specialized services, Bridgeway provides a warm and supportive home where residents can feel at ease.
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 127th out of 282 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.
|
25m per day | ▼ 9% 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.
|
28m per day | ▼ 32% 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 35m 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 9m per day | ▲ 3% State avg: 3h 3m per day · National avg: 3h 27m 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.
|
8m per day | ▲ 192% State avg: 3m 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.
|
19m per day | ▼ 6% State avg: 20m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
36% more staff per resident than Missouri average
9% worse 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.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Assists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Helps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
41 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 13,058 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,907 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,545 | 90 | 98% | 9.5 |
| Registered Nurse | 8 | 0 | 8 | 1,283 | 83 | 90% | 8.1 |
| Dental Services Staff | 4 | 0 | 4 | 1,110 | 68 | 74% | 7.6 |
| Nurse Aide in Training | 12 | 0 | 12 | 1,106 | 74 | 80% | 6.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,008 | 80 | 87% | 7 |
| Respiratory Therapy Technician | 15 | 0 | 15 | 887 | 83 | 90% | 4.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 881 | 85 | 92% | 6.8 |
| Physical Therapy Aide | 8 | 0 | 8 | 643 | 65 | 71% | 5.6 |
| RN Director of Nursing | 1 | 0 | 1 | 535 | 76 | 83% | 7 |
| Administrator | 1 | 0 | 1 | 501 | 63 | 68% | 7.9 |
| Speech Language Pathologist | 5 | 0 | 5 | 495 | 58 | 63% | 6.8 |
| Dietitian | 1 | 0 | 1 | 481 | 63 | 68% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 56 | 61% | 8.6 |
| Physical Therapy Assistant | 7 | 1 | 8 | 454 | 62 | 67% | 5.3 |
| Qualified Social Worker | 5 | 0 | 5 | 447 | 61 | 66% | 7.3 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 444 | 52 | 57% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 425 | 63 | 68% | 6.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 108 | 63 | 68% | 1.7 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 28 | 16 | 17% | 1.8 |
| Medical Director | 0 | 2 | 2 | 10 | 5 | 5% | 2 |
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.
12.2
11% worse than Missouri average
Missouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
18% worse than Missouri average
Missouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
23.0%
16% worse than Missouri average
Missouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
21.7%
5% worse than Missouri average
Missouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
33% worse than Missouri average
Missouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.2%
104% worse than Missouri average
Missouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
4.7%
6% better than Missouri average
Missouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.3%
52% better than Missouri average
Missouri average: 2.7%
Percent of long-stay residents who lose too much weight
3.2%
42% better than Missouri average
Missouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.6%
72% better than Missouri average
Missouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
14.3%
35% better than Missouri average
Missouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
15% better than Missouri average
Missouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
5% better than Missouri average
Missouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
43% better than Missouri average
Missouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
40% better than Missouri average
Missouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.6%
41% better than Missouri average
Missouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
68% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
65
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Bridgeway Residential Care Facility from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 05/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #74 / 292Payroll — State benchmarkedThis home is ranked 74th out of 292 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #291 / 292Payroll % — State benchmarkedThis home is ranked 291st out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Mid-rise
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from Fulton's city center to Bridgeway Residential Care Facility's address, calculated via Google Maps.
Add your location
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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| Bridgeway Residential Care Facility |
NH
AL
MC
|
Fulton |
78
Facility
78
MO AVG
97
Rank
#278 / 454
|
90.5%
Facility
90.5%
MO AVG
66.6%
Rank
#37 / 434
| +36% |
3.77
Facility
3.77
MO AVG
3.74
Rank
#127 / 282
| -31% | +1% |
$0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289
|
9
Facility
9
MO AVG
36.5
Rank
#11 / 287
|
3.0
Facility
3.0
MO AVG
5.7
Rank
#23 / 287
| - | 72 | - |
58
Facility
58
MO AVG
45
Rank
#170 / 563
| - |
$74.0M
Facility
$74.0M
MO AVG
$8.4M
Rank
#2 / 292
|
$5.3M
Facility
$5.3M
MO AVG
$3.3M
Rank
#74 / 292
|
7.1%
Facility
7.1%
MO AVG
45.6%
Rank
#291 / 292
| 265519 | ||||
| Heisinger Bluffs |
NH
AL
IL
MC
RC
|
Jefferson City |
111
Facility
111
MO AVG
97
Rank
#156 / 454
|
49.5%
Facility
49.5%
MO AVG
66.6%
Rank
#344 / 434
| -26% |
3.36
Facility
3.36
MO AVG
3.74
Rank
#187 / 282
| +42% | -10% |
$8.1k
Facility
$8.1k
MO AVG
$76.9k
Rank
#165 / 289
|
17
Facility
17
MO AVG
36.5
Rank
#61 / 287
|
5.7
Facility
5.7
MO AVG
5.7
Rank
#170 / 287
| - | 56 | - |
32
Facility
32
MO AVG
45
Rank
#376 / 563
| Hb Operations Holdco LLC |
$4.9M
Facility
$4.9M
MO AVG
$8.4M
Rank
#189 / 292
|
$3.5M
Facility
$3.5M
MO AVG
$3.3M
Rank
#142 / 292
|
72.1%
Facility
72.1%
MO AVG
45.6%
Rank
#44 / 292
| 265794 | ||||
| StoneBridge Senior Living Oak Tree |
NH
AL
MC
|
Jefferson City |
42
Facility
42
MO AVG
97
Rank
#413 / 454
|
71.4%
Facility
71.4%
MO AVG
66.6%
Rank
#180 / 434
| +7% | - | -60% | - |
$0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289
|
21
Facility
21
MO AVG
36.5
Rank
#80 / 287
|
3.5
Facility
3.5
MO AVG
5.7
Rank
#58 / 287
| 1 | 32 | - |
27
Facility
27
MO AVG
45
Rank
#414 / 563
| Ricky Doerhoff |
$4.2M
Facility
$4.2M
MO AVG
$8.4M
Rank
#209 / 292
|
$2.2M
Facility
$2.2M
MO AVG
$3.3M
Rank
#237 / 292
|
51.9%
Facility
51.9%
MO AVG
45.6%
Rank
#212 / 292
| 265819 | ||||
| The Jefferson City Nursing and Rehabilitation Center |
NH
AL
|
Jefferson City |
120
Facility
120
MO AVG
97
Rank
#89 / 454
|
67.5%
Facility
67.5%
MO AVG
66.6%
Rank
#206 / 434
| +1% |
4.28
Facility
4.28
MO AVG
3.74
Rank
#68 / 282
| -27% | +14% |
$14.4k
Facility
$14.4k
MO AVG
$76.9k
Rank
#192 / 289
|
31
Facility
31
MO AVG
36.5
Rank
#146 / 287
|
3.4
Facility
3.4
MO AVG
5.7
Rank
#46 / 287
| 3 | 68 | A+ |
33
Facility
33
MO AVG
45
Rank
#369 / 563
| Victoria Gilbert |
$8.1M
Facility
$8.1M
MO AVG
$8.4M
Rank
#100 / 292
|
$5.1M
Facility
$5.1M
MO AVG
$3.3M
Rank
#68 / 292
|
63%
Facility
63%
MO AVG
45.6%
Rank
#39 / 292
| 265530 | ||||
| Jefferson City Manor |
NH
MC
NC
|
Jefferson City |
102
Facility
102
MO AVG
97
Rank
#169 / 454
|
66.7%
Facility
66.7%
MO AVG
66.6%
Rank
#213 / 434
| 0% |
3.53
Facility
3.53
MO AVG
3.74
Rank
#171 / 282
| -22% | -5% |
$8.3k
Facility
$8.3k
MO AVG
$76.9k
Rank
#167 / 289
|
34
Facility
34
MO AVG
36.5
Rank
#163 / 287
|
3.4
Facility
3.4
MO AVG
5.7
Rank
#46 / 287
| 2 | 69 | - |
4
Facility
4
MO AVG
45
Rank
#530 / 563
| Cynthia Juckette |
$7.1M
Facility
$7.1M
MO AVG
$8.4M
Rank
#55 / 292
|
$2.6M
Facility
$2.6M
MO AVG
$3.3M
Rank
#116 / 292
|
37.3%
Facility
37.3%
MO AVG
45.6%
Rank
#282 / 292
| 265285 |
Bridgeway Residential Care Facility is located in Fulton, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Bridgeway Residential Care Facility is in the Fulton neighborhood.
Bridgeway Residential Care Facility has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Bridgeway Residential Care Facility's occupancy is 90.5%.
Bridgeway Residential Care Facility is registered as a non-profit.
Yes — there are 4 photos of Bridgeway Residential Care Facility in the photo gallery on this page.
Bridgeway Residential Care Facility is located at 828 Jefferson St, Fulton, MO 65251.
(573) 642-7770 will put you in contact with the team at Bridgeway Residential Care Facility.
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