Fulton Nursing & Rehab

Nursing Home · Fulton, MO

CMS overall rating 2/5 For profit - Corporation

CMS certification number265663

Contact & location

1510 Bluff Street
Fulton, MO 65251
Callaway County
Phone
(573) 642-0202
ZIP code
65251 – all care providers

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Facility details

Certified beds
100
Residents per day
66.3 (66% occupied)
Ownership
For profit - Corporation
Legal name
N & R of Fulton, INC.
Chain
James & Judy Lincoln (56 facilities, avg 2.4★)
Medicare certified since
December 16, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.2
Quality measures★★★★★ 2/5
State avg 2.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.76 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.29 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.43 (state 0.68 · U.S. 0.86)
Nurse aides
2.05 (state 2.29 · U.S. 2.32)
Weekend total
2.52 (state 3.02 · U.S. 3.42)
Nursing staff turnover
63.6 (state 56.0 · U.S. 45.8)%
RN turnover
62.5 (state 47.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 27, 2025
Health deficiencies (last cycle)
16.0 (state 11.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
50 health · 23 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-26
2026-01-14 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-22
2025-12-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-17
2025-11-19 Have 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-27
2025-06-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Honor 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-30
2025-06-27 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-07-30
2025-05-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-23
2025-05-14 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-30
2024-10-02 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-09-30
2024-05-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Honor 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 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.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 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.
F0801 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-10
2024-05-02 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-06-10
2024-02-21 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-02
2023-10-24 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-04
2023-04-13 Honor 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-23
2023-04-13 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-05-23
2023-04-13 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-05-23
2023-04-13 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-05-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,018 in fines.

DateTypeAmount
2024-10-02Fine$8,018

Ownership & management

NameRoleSince
Lincoln, James (individual)5%+ Direct Ownership Interest · 50%
Lincoln, Judy (individual)5%+ Direct Ownership Interest · 50%
Bysor, Brandon (individual)Corporate Director · NOT APPLICABLE
Drake, Timothy (individual)Corporate Director · NOT APPLICABLE
Stutts, Charlotte (individual)Corporate Officer · NOT APPLICABLE
N & R of Fulton, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Gilbert, Victoria (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Fulton Nursing & Rehab?

Fulton Nursing & Rehab has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Fulton Nursing & Rehab have?

It has 100 certified beds and cares for about 66 residents per day.

Has Fulton Nursing & Rehab been fined?

Yes. CMS lists 1 penalty totaling $8,018 in the last three years.

Who owns Fulton Nursing & Rehab?

It is part of James & Judy Lincoln and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Fulton Nursing & Rehab?

(573) 642-0202. The facility is located at 1510 Bluff Street, Fulton, MO 65251.

Other nursing homes in Fulton

Compare all nursing homes in Fulton, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.