Fulton Manor Care Center
Nursing Home & Skilled Nursing · Fulton, MO
CMS overall rating Info 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 Care Center

Nursing Home & Skilled Nursing · Fulton, MO
CMS overall rating Info 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.
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Fulton Manor Care Center accepts Medicaid, Medicare, and private pay.

Inspection History

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.

Since 2018 · 8 years of data 117 deficiencies 10 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Missouri state average
Overall vs. MO average 3 Worse Metrics worse than Missouri average:
• Total deficiencies (234% above)
• Deficiencies per year (232% above)
• Deficiencies per inspection (303% above)
0 Better No metrics in this bucket.
Latest Inspection April 4, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 11735 This facility has 234% more total deficiencies than a typical Missouri assisted living residence (117 vs. MO avg 35).↑ 234% worse
Deficiencies per year Info Average deficiencies per year since 2018. 14.64.4 This facility has 232% more deficiencies per year than a typical Missouri assisted living residence (14.6 vs. MO avg 4.4).↑ 232% worse
Deficiencies per inspection Info Average deficiencies per inspection. 11.72.9 This facility has 303% more deficiencies per inspection than a typical Missouri assisted living residence (11.7 vs. MO avg 2.9).↑ 303% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1012 This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • April 4, 2025 complaint investigation found the facility employed a CNA with a federal indicator for misconduct, revealing lapses in background checks and oversight by leadership.
  • January 30, 2025 routine inspection cited 16 deficiencies including medication errors, inadequate staffing without RN coverage, infection control failures, privacy violations, and poor quality assurance implementation.
  • December 12, 2024 complaint investigation found failure to protect a resident from physical abuse by another resident with a known aggression history due to inadequate staff monitoring.

Health Inspection History

Inspections since 2022
Total health inspections 7

State average N/A


Last Health inspection on Apr 2025

Total health citations
47 Rank #217 / 284Health citations — State benchmarkedThis home is ranked 217th out of 284 homes in Missouri for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 284 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. 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.

State average N/A

Citations per inspection
6.71 Rank #211 / 284Citations per inspection — State benchmarkedThis home is ranked 211th out of 284 homes in Missouri for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 284 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. 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.

State average N/A


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).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

43 moderate citations State average: N/A

4 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Apr 04, 2025
Corrected

Administration moderate citation Jan 30, 2025
Corrected

Environmental moderate citation Jan 30, 2025
Corrected

Infection Control moderate citation Jan 30, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 104
Employees 61
Contractors 43
Staff to resident ratio 2.42 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21
Average shift 8.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,732

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 4 total: 1 full-time employee and 3 contractors. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 14 total: 9 full-time employees and 5 contractors. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 53 total: 34 full-time employees and 19 contractors. 53
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

16.3%

2,729 contractor hours this quarter

Certified Nursing Assistant: 19 Licensed Practical Nurse: 5 Respiratory Therapy Technician: 4 Medication Aide/Technician: 3 Registered Nurse: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3419538,84792100%9.3
Licensed Practical Nurse95142,81892100%8.6
Medication Aide/Technician3367116065%10.3
Administrator6067026470%7.9
Speech Language Pathologist0226436672%8
Physical Therapy Assistant0116176672%9.3
Nurse Aide in Training1016055560%11
RN Director of Nursing1014986470%7.8
Dietitian2024525762%7.3
Registered Nurse1342762426%11.5
Physical Therapy Aide0221674650%3.6
Mental Health Service Worker3031612426%6.5
Nurse Practitioner101871011%8.7
Respiratory Therapy Technician044784852%1.2
Qualified Social Worker011231415%1.7
Occupational Therapy Assistant0111833%6
Occupational Therapy Aide0111633%5.2
Medical Director0111433%4.7
53 Certified Nursing Assistant
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 65%
6 Administrator
% of Days 70%
2 Speech Language Pathologist
% of Days 72%
1 Physical Therapy Assistant
% of Days 72%
1 Nurse Aide in Training
% of Days 60%
1 RN Director of Nursing
% of Days 70%
2 Dietitian
% of Days 62%
4 Registered Nurse
% of Days 26%
2 Physical Therapy Aide
% of Days 50%
3 Mental Health Service Worker
% of Days 26%
1 Nurse Practitioner
% of Days 11%
4 Respiratory Therapy Technician
% of Days 52%
1 Qualified Social Worker
% of Days 15%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 3%
1 Medical Director
% of Days 3%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.4
21% better than State average

State average: 19.5

Long-stay resident measures
Average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.2%
In line with State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.8%
52% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.2%
5% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.4%
16% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
78% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
42% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.6%
37% worse than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 22.3%
74% worse than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.2%
8% better than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
17% better than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.98
43% worse than State average

State average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.90
66% worse than State average

State average: 2.35

Short-stay resident measures
Below average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
48% better than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 7.0%
215% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
58% better than State average

State average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 35.6%
41% worse than State average

State average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 19.0%
42% worse than State average

State average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.5%
6% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

57% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 43
Medicare
9
20.9% of residents
Medicaid
23
53.5% of residents
Private pay or other
11
25.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 10/2023.

For-profit
Corporation
Net patient revenue Info 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."
$3.2M
Net patient income Info 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."
-$231.0K
For-profit Corporation
Net patient revenue Info 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."
$3.2M Rank #260 / 290Revenue — State benchmarkedThis home is ranked 260th out of 290 homes in Missouri for Revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. 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.
Net patient income Info 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."
-$231.0K
Other income Info 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.
$2.0K
Payroll costs Info 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 #233 / 290Payroll — State benchmarkedThis home is ranked 233rd out of 290 homes in Missouri for Payroll. 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.Facilities with the same value for a metric share the same rank. 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.
$1.9M 60.9% of net patient revenue Info 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 #63 / 290Payroll % — State benchmarkedThis home is ranked 63rd out of 290 homes in Missouri for Payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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.
Other operating costs Info 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).
$1.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.4M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

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.

Admissions
56 total

Coverage residents most often arrive under.

Medicare 30%
Private pay 57%
Medicaid 13%
Discharges
86 total

Coverage residents most often leave under.

Medicare 41%
Private pay 36%
Medicaid 23%

Places of interest near Fulton Manor Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Fulton's city center to Fulton Manor Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Fulton Manor Care Center

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Address

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Frequently Asked Questions about Fulton Manor Care Center

Who is the owner of Fulton Manor Care Center?

Fulton Manor Care Center is legally operated by Fulton Manor, Inc., and administered by Rebecca Baker-Bey.

Is Fulton Manor Care Center in a walkable area?

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.

What is the license number of Fulton Manor Care Center?

According to MO state health department records, Fulton Manor Care Center's license number is 053112.

When does Fulton Manor Care Center's license expire?

According to MO state health department records, Fulton Manor Care Center's license expires on October 31, 2027.

What is the occupancy rate at Fulton Manor Care Center?

Fulton Manor Care Center's occupancy is 87%.

Are pets allowed at Fulton Manor Care Center?

No, Fulton Manor Care Center has a no-pet policy.

Does Fulton Manor Care Center operate as a for-profit or non-profit?

Fulton Manor Care Center is registered as a for-profit in MO.

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