FULTON NURSING & REHAB

CCN 265663 · N & R OF FULTON, INC. · For profit - Corporation · JAMES & JUDY LINCOLN chain · 100 certified beds · Callaway · MO


FULTON NURSING & REHAB is a 100-bed nursing home in FULTON, Missouri. CMS has certified it for Medicare and Medicaid since 1996-12-16. It averages 66.3 residents a day.

What harm was found in the violations cited at FULTON NURSING & REHAB?

CMS lists 50 health-inspection deficiencies for FULTON NURSING & REHAB since 2023-04-13, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-09.

Survey dateTagDeficiencySeverity
2026-04-09F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2026-01-14F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-12-31F0880Provide and implement an infection prevention and control program.E
2025-11-19F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.E
2025-06-27F0880, F0881, F0882Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2025-06-27F0578, F0656, F0657, F0689, F0883Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2025-06-27F0637, F0695, F0698Assess the resident when there is a significant change in condition / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2025-06-27F0732Post nurse staffing information every day.C
2025-05-14F0580, F0600Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-10-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-05-02F0880Provide and implement an infection prevention and control program.F
2024-05-02F0584, F0625, F0637, F0656, F0658, F0677, F0689, F0758, F0761, F0801Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E
2024-05-02F0583, F0636, F0638, F0641Keep residents' personal and medical records private and confidential. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment.D
2024-05-02F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2024-02-21F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2023-10-24F0638Assure that each resident’s assessment is updated at least once every 3 months.E
2023-04-13F0584, F0658, F0677, F0689, F0758, F0761, F0880Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide and implement an infection prevention and control program.E
2023-04-13F0623, F0625, F0698Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2023-04-13F0680, F0732, F0882Ensure the activities program is directed by a qualified professional. / Post nurse staffing information every day. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.C

Why was FULTON NURSING & REHAB fined?

DateTypeAmount
2024-10-02Fine$8,018

How is FULTON NURSING & REHAB staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.764423.43324
Total nursing staff turnover (%)63.656.0
Average number of residents per day66.373.0

Who owns FULTON NURSING & REHAB, and what chain is it in?

FULTON NURSING & REHAB is registered with CMS as For profit - Corporation, operates under the legal business name N & R OF FULTON, INC. and belongs to the JAMES & JUDY LINCOLN chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLINCOLN, JAMES, LINCOLN, JUDYsince 08/01/1998
W-2 MANAGING EMPLOYEEGILBERT, VICTORIAsince 12/30/2022
CORPORATE DIRECTORBYSOR, BRANDON, DRAKE, TIMOTHYsince 08/01/1998
CORPORATE OFFICERSTUTTS, CHARLOTTEsince 08/01/1998
OPERATIONAL/MANAGERIAL CONTROLN & R OF FULTON, INC.since 08/01/1998

Were you or a family member harmed at FULTON NURSING & REHAB?