Complaint Investigation

Fulton Nursing & Rehab

November 19, 2025 · Fulton, MO · 1510 Bluff Street

Citations 1

CMS Rating 2/5

Beds 100

Provider ID 265663

Healthcare Facility

Fulton Nursing & Rehab

Fulton, MO · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

FULTON NURSING & REHAB in FULTON, MO — inspection on November 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0727

Nursing and Physician Services Deficiencies

Potential for More Than Minimal Harm

Based on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours per day, seven days a week.

The facility's census was 67.1.

Review showed the facility did not provide a policy in regard to RN services.

Review of the Facility Assessment, revised 08/27/25, showed the facility should staff at least one RN for eight hours per day, seven days a week.

Review of the facility's RN Staffing assignments, dated 09/01/25 through 09/30/25, did not contain documentation of RN coverage for eight consecutive hours per day on 09/01/25, 09/05/25, 09/06/25, and 09/21/25.

Review of the facility's RN Staffing assignments, dated 10/01/25 through 10/21/25, did not contain documentation of RN coverage for eight consecutive hours per day on 10/04/25, 10/05/25, 10/18/25, and 10/19/25.

During an interview on 10/21/25 at 2:29 P.M., the Director of Nursing (DON) said he/she is aware of the requirement to have an RN in the facility eight consecutive hours daily, and the Assistant Director of Nursing (ADON) or the administrator should ensure the requirement is met. He/She said he/she is at the facility five days per week and was not aware that an RN was not at the facility on 9/1, 9/5, 9/6, 9/21, 10/4, 10/5, 10/18, and 10/19.

During an interview on 10/21/25 at 3:18 P.M., the administrator said he/she is aware of the requirement to have an RN in the facility eight consecutive hours daily, the ADON does the nursing schedule and should ensure the required RN coverage is provided.

The administrator said the facility lost a couple RNs within the past two months which makes it difficult to provide the daily required RN coverage particularly on the weekends, but he/she was not aware there was not an RN at the facility for that many days.

The administrator said they just do not have anyone to cover, and he/she is actively trying to hire more RNs.

During an interview on 10/22/25 at 10:38 A.M., the ADON said he/she just took over the nursing schedule from the administrator a week ago and he/she is aware of the requirement to have an RN in the facility eight consecutive hours daily.

The ADON said he/she was not aware there was not an RN at the facility on 9/1, 9/5, 9/6, 9/21, 10/4, 10/5, 10/18, and 10/19.

Complaint #

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FULTON, MO, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FULTON NURSING & REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.