Fulton Nursing & Rehab
FULTON NURSING & REHAB in FULTON, MO — inspection on December 31, 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
Review of Resident #9's COVID test results form, dated 12/20/25 and 12/29/25, showed staff documented the resident with a positive result.Review of Resident #10's COVID test results form, dated 12/29/25, showed staff documented the resident with a negative result.Observation on 12/30/25 at 11:35 A.M. showed Resident #9 and Resident #10 in the same room and did not wear masks.Observation on 12/30/25 at 1:25 P.M. and 4:05 P.M., showed Resident #9 out of his/her room. 6.
Review of Resident #11's COVID test results form, dated 12/22/25, showed staff documented the resident tested positive.Review of Resident #12's COVID test results form, dated 12/29/25, showed a negative result.
During an interview on 12/30/25 at 2:00 P.M., Resident #11 stated he/she would prefer to move rooms if roommate was sick with Covid.
His/Her roommate tested positive for COVID-19 on 12/22/25. 7.
During an Interview on 12/30/25 at 12:32 P.M., Certified Nurse Assistant (CNA) C stated there were seven Covid positive residents in the 300 Dining Hall out of 13 total residents.
During an interview on 12/30/25 at 12:15 P.M., the Director of Nursing (DON) said they follow the policy regarding resident placement during a COVID-19 outbreak, but some residents refuse to be moved and there are not always rooms available.
They have relocated some residents.
Families were notified that the facility has residents testing positive for COVID-19.During an interview on 12/30/25 at 10:20 A.M., CMT D said he/she did not know which residents had tested positive for COVID-19, but was aware some were positive. He/She said he/she had not been told during shift change who had COVID-19. CMT D said he/she is new and had only been told to wear a mask. He/She acknowledged wearing it below the nose would not provide protection from the virus, and it should be an N95 mask.
During an interview on 12/30/25 at 10:31 A.M., the Assistant Director of Nursing (ADON) said he/she does not know who on Hall 300 is COVID-19 positive or why there is no signage on the door.
He/She said staff are probably going in and out of rooms without the proper PPE.
The ADON did not know why there were not red bags in the rooms for PPE disposal.
The ADON said he/she and the DON are responsible for ensuring staff is compliant with PPE requirements.
During an interview on 12/30/25 at12:41 P.M., LPN B said there is a list of COVID-19 positive residents at the nurse's station that is updated every three days. He/She said everyone should know about it and nurses know what PPE to wear. LPN B did not know why there was no signage on the doors; it is the Infection Preventionist's (IP) responsibility.During an interview on 12/30/25 at 12:15 P.M., the Director of Nursing (DON) said a list of positive residents is posted at the nurse's station and all nurses should be aware of it.
During an interview on 12/30/25 at 12:45 P.M., the Infection Preventionist said interventions implemented to contain COVID-19 include room trays for residents who test positive, some room changes, masks, handwashing reminders, family notification and cancellation of the Christmas party.
The IP said all residents have been asked to wear masks outside their rooms, but many refuse.
During an interview on 12/31/25 at 10:40 A.M., the Administrator said the ADON and DON are responsible for educating nurses on the use of PPE and nurses are responsible for compliance.
The Administrator said a list of COVID-19 positive residents is posted at the nurse's station and does not understand why staff are saying they do not have the information.Complaint # 2697930
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