Inspection Reports for
Fulton Nursing and Rehabilitation, LLC
1004 HOLIDAY LANE, FULTON, KY, 42041
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% better than Kentucky average
Kentucky average: 4.7 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Abbreviated Survey
Census: 54
Deficiencies: 0
Date: May 22, 2025
Visit Reason
A Standard Recertification and Abbreviated Survey was conducted to investigate multiple facility IDs and assess compliance with 42 CFR 483 subpart B.
Findings
The facility was found not to be in substantial compliance with regulatory requirements, with violations cited at a scope and severity level of "F". No deficiencies were issued related to several specific facility IDs.
Report Facts
Survey Census: 54
Sample Size: 24
Supplemental Residents: 1
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: May 22, 2025
Visit Reason
The inspection was conducted to investigate complaints related to PASARR screening for mental disorders, comprehensive care plan revisions following behavioral health unit readmission, food storage safety, and infection prevention and control practices at Fulton Nursing and Rehabilitation, LLC.
Complaint Details
The investigation was complaint-driven, focusing on PASARR screening deficiencies, care plan inadequacies after behavioral health readmission, food storage violations, and infection control breaches. The complaint was substantiated with findings of minimal harm and affecting few or many residents depending on the issue.
Findings
The facility failed to complete required PASARR Level II screenings for a resident with mental disorders, did not revise the comprehensive care plan following behavioral health readmission, improperly stored food items in the kitchen cooler, and failed to follow infection control protocols during perineal care for a resident.
Deficiencies (4)
F 0645 PASARR screening for Mental disorders or Intellectual Disabilities was not completed for 1 of 3 residents, including failure to refer for Level II PASARR after inpatient psychiatric treatment.
F 0657 The facility failed to review and revise the comprehensive care plan for 1 of 24 residents following readmission from a behavioral health unit, not reflecting documented behaviors.
F 0812 The facility failed to store foods properly; multiple items in the kitchen cooler were unlabeled, undated, or past use-by dates, risking resident illness.
F 0880 The facility failed to implement infection prevention and control; staff provided perineal care using improper technique, including reuse of washcloths and improper disposal of soiled linens.
Report Facts
Residents sampled: 24
Residents affected: 1
Residents affected: 1
Residents affected: Many
BIMS score: 15
BIMS score: 3
Date of admission: Oct 30, 2024
Date of admission: Feb 23, 2025
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 20, 2020
Visit Reason
Annual inspection of Fulton Nursing and Rehabilitation, LLC to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 5
Date: Jan 29, 2019
Visit Reason
The inspection was conducted to assess compliance with federal and state regulations related to resident care, medication management, nutrition, and facility safety at Fulton Nursing and Rehabilitation, LLC.
Findings
The facility failed to ensure accurate resident assessments and timely care plan revisions for a resident with improved functional status. It also failed to maintain acceptable nutritional status for a resident with significant weight loss due to lack of ordered supplements. Medication labeling and storage practices were deficient, including undated multi-dose vials. Food storage and cleanliness standards in the kitchen were not consistently met.
Deficiencies (5)
F0641: The facility failed to ensure one resident received an accurate assessment reflective of their status, missing documentation of a significant change in status improvement.
F0657: The facility failed to revise the care plan within 7 days to reflect a resident's improved abilities, resulting in outdated care plans.
F0692: The facility failed to ensure a resident maintained acceptable nutritional status by not ordering or administering a recommended dietary supplement despite significant weight loss.
F0761: The facility failed to ensure drugs were labeled according to professional principles, with an undated multi-dose vial of Tubersol found in the medication refrigerator.
F0812: The facility failed to ensure food was stored and served in accordance with professional standards, with undated food items and visible food debris in refrigerators and freezers.
Report Facts
Residents sampled: 16
Residents affected: 1
Residents affected: 1
Weight loss percentage: 5.3
Weight loss in pounds: 10.7
Weight loss in pounds: 1.5
Medpass supplement dosage: 90
Residents receiving meals: 40
Total residents: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| PTA #1 | Physical Therapy Assistant | Reported resident improvement and safety concerns for Resident #21 |
| CNA #1 | Certified Nurse Assistant | Reported resident independence with bathing and ambulation for Resident #21 |
| MDS Coordinator | Acknowledged oversight in initiating significant change status and care plan updates for Resident #21 | |
| LPN #2 | Licensed Practical Nurse | Reported not administering Medpass supplement due to lack of order for Resident #17 |
| RN #1 | Registered Nurse, Unit Manager | Discussed communication and ordering process for dietary recommendations |
| Registered Dietitian | Made dietary recommendations and monitored resident weights | |
| Physician | Aware of resident weight loss but had not ordered supplement | |
| LPN #1 | Licensed Practical Nurse | Noted expectation to date multi-dose medication vials |
| Director of Nursing | Expected nurses to date multi-dose vials and confirmed staff education | |
| Dietary Aide #1 | Reported kitchen staff clean food debris daily and date food items | |
| Dietary Manager | Expected food items to be dated and refrigerators/freezers to be clean | |
| Administrator | Reported lack of policies at time of incidents and described facility procedures |
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