Fulton Nursing &Amp; Rehab
Nursing Home, Memory Care & 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 Nursing &Amp; Rehab

Nursing Home, Memory Care & 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 Nursing &Amp; Rehab 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 2023 · 3 years of data 158 deficiencies 19 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 2023 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (351% above)
• Deficiencies per inspection (186% above)
0 Better No metrics in this bucket.

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. 15835 This facility has 351% more total deficiencies than a typical Missouri nursing home (158 vs. MO avg 35).↑ 351% worse
Deficiencies per inspection Info Average deficiencies per inspection. 8.32.9 This facility has 186% more deficiencies per inspection than a typical Missouri nursing home (8.3 vs. MO avg 2.9).↑ 186% 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 inspections conducted at this facility. 1912 This facility has had 58% more total inspections than the Missouri average (19 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 58% more

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

  • January 14, 2026 annual inspection found failure to update care plans for aggressive behaviors and quarterly revisions for three residents, citing staffing and workload issues.
  • December 31, 2025 complaint investigation substantiated failure to separate COVID-19 positive and negative residents and inconsistent infection control practices.
  • November 19, 2025 complaint investigation substantiated failure to provide an RN on duty for eight consecutive hours daily on multiple days.

Health Inspection History

Inspections since 2023
Total health inspections 8

State average 6.6


Last Health inspection on Jun 2025

Total health citations
47 Rank #209 / 274Health citations — State benchmarkedThis home is ranked 209th out of 274 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 274 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 36.5

Citations per inspection
5.88 Rank #169 / 274Citations per inspection — State benchmarkedThis home is ranked 169th out of 274 homes in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 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 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; and 6 of 47 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 0.7


Serious health citations
1
In line with State average

State average: 1

0 critical citations State average: 0.7

1 serious citation State average: 1

41 moderate citations State average: 33.6

5 minor citations State average: 1.2
Citations history (last 3 years)
Infection Control moderate citation Jun 27, 2025
Corrected

Infection Control moderate citation Jun 27, 2025
Corrected

Infection Control moderate citation Jun 27, 2025
Corrected

Infection Control moderate citation Jun 27, 2025
Corrected

Staffing Data

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

Total staff 82
Employees 69
Contractors 13
Staff to resident ratio 1.95 : 1
15% more staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 26
Average shift 8.4 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 20,139

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 6 total: 5 full-time employees and 1 contractor. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 6 LPN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 16 CNA Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 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

5.8%

1,162 contractor hours this quarter

Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Physical Therapy Aide: 2 Registered Nurse: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1 Nurse Practitioner: 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 Assistant160164,58992100%8.4
Medication Aide/Technician160164,45092100%9.6
Nurse Aide in Training200203,76092100%9.6
Licensed Practical Nurse6062,3019199%9.5
Registered Nurse5161,3318491%8
RN Director of Nursing2027646975%8.1
Dental Services Staff1015475964%9.3
Nurse Practitioner0114976267%8
Administrator1014816166%7.9
Dietitian1014565964%7.7
Other Dietary Services Staff1014015257%7.7
Respiratory Therapy Technician0112256267%3.6
Physical Therapy Assistant0221223336%3.7
Physical Therapy Aide0221083740%2.8
Speech Language Pathologist022542628%2
Occupational Therapy Aide0112433%8
Occupational Therapy Assistant0112033%6.6
Qualified Social Worker0221278%1.7
16 Certified Nursing Assistant
% of Days 100%
16 Medication Aide/Technician
% of Days 100%
20 Nurse Aide in Training
% of Days 100%
6 Licensed Practical Nurse
% of Days 99%
6 Registered Nurse
% of Days 91%
2 RN Director of Nursing
% of Days 75%
1 Dental Services Staff
% of Days 64%
1 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 66%
1 Dietitian
% of Days 64%
1 Other Dietary Services Staff
% of Days 57%
1 Respiratory Therapy Technician
% of Days 67%
2 Physical Therapy Assistant
% of Days 36%
2 Physical Therapy Aide
% of Days 40%
2 Speech Language Pathologist
% of Days 28%
1 Occupational Therapy Aide
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
2 Qualified Social Worker
% of Days 8%

Penalties and fines

Includes penalties issued in 2024

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 (Data as of Jan 2026)

Total fines amount $8K Rank #155 / 276Federal fines — State benchmarkedThis home is ranked 155th out of 276 homes in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean 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.
89% lower than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $8K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Oct 2, 2024 · $8K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 2, 2024
$8K

Last updated: Jan 2026

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. 12.9
18% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.8
17% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri 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 25.6%
30% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 21.9%
6% worse than Missouri average

Missouri 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 20.9%
15% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
In line with Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.5%
10% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
79% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
40% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.8%
62% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 37.5%
70% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 74.4%
13% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
5% better than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 61.0%
8% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 9.5%
329% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.0%
37% better than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 49.0%
94% worse than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.2%
69% better than Missouri average

Missouri average: 13.4%

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 3 - 4 months

Private pay

57% of new residents, often for short stays.

Typical stay 5 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 5 - 6 years

Facility Characteristics

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

Total residents 42
Medicaid
29
69% of residents
Private pay or other
13
31% of residents
Programs & Services
Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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 12/2023.

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."
-$288.6K
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 #247 / 277Revenue — State benchmarkedThis home is ranked 247th out of 277 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."
-$288.6K
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.
$93.1K
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 #240 / 277Payroll — State benchmarkedThis home is ranked 240th out of 277 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.
$1.8M 55.7% 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 #138 / 277Payroll % — State benchmarkedThis home is ranked 138th out of 277 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).
$1.7M
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).
$3.5M

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 5 months.

Admissions
30 total

Coverage residents most often arrive under.

Medicare 20%
Private pay 57%
Medicaid 23%
Discharges
124 total

Coverage residents most often leave under.

Medicare 15%
Private pay 34%
Medicaid 51%

Places of interest near Fulton Nursing &Amp; Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Fulton's city center to Fulton Nursing &Amp; Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Fulton Nursing &Amp; Rehab

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Address

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265663

Frequently Asked Questions about Fulton Nursing &Amp; Rehab

Who is the owner of Fulton Nursing &Amp; Rehab?

Fulton Nursing &Amp; Rehab is legally operated by N & R Of Fulton, Inc., and administered by Kayla Pruitt.

Is Fulton Nursing &Amp; Rehab in a walkable area?

Fulton Nursing &Amp; Rehab 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 Nursing &Amp; Rehab?

According to MO state health department records, Fulton Nursing &Amp; Rehab's license number is 052993.

When does Fulton Nursing &Amp; Rehab's license expire?

According to MO state health department records, Fulton Nursing &Amp; Rehab's license expires on September 23, 2027.

What is the occupancy rate at Fulton Nursing &Amp; Rehab?

Fulton Nursing &Amp; Rehab's occupancy is 68%.

Are pets allowed at Fulton Nursing &Amp; Rehab?

No, Fulton Nursing &Amp; Rehab has a no-pet policy.

Does Fulton Nursing &Amp; Rehab operate as a for-profit or non-profit?

Fulton Nursing &Amp; Rehab is registered as a for-profit in MO.

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