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Nursing homeFAID #7267

Fulton Nursing & Rehab

1510 BLUFF STREET, FULTON, MO, 65251

(573) 642-0202

www.fultonnursing.com

100 licensed beds

CMS rates Fulton Nursing & Rehab 2 out of 5 overall. Federal inspectors issued 73 citations across 14 inspections in the last three years, with $8,018 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

1510 Bluff Street

Fulton, MO 65251

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Public record summary

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Bed capacity

100

State license

052993

CMS facility ID

265663

Care type

Nursing home

Facility name

Fulton Nursing & Rehab

Street address

1510 BLUFF STREET

City / state / ZIP

Fulton, MO 65251

Phone

(573) 642-0202

Website

www.fultonnursing.com

State license #

052993

About this facility — Fulton Nursing & Rehab

Fulton Nursing & Rehab is a Medicare/Medicaid-certified skilled nursing facility in Fulton, Missouri. It is licensed for 100 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 11 senior care facilities in Fulton and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of James & Judy Lincoln, a group of 56 facilities on this site.

Federal inspectors have cited Fulton Nursing & Rehab 73 times across 14 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $8,018 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

N & R of Fulton, Inc

Parent company

James & Judy Lincoln

Ownership type

For profit - Corporation

Administrator

Samantha Twitchell

Registered owners & officers

Lincoln, James

Direct owner — 50% stake — since 1998

Lincoln, Judy

Direct owner — 50% stake — since 1998

Bysor, Brandon

Director — since 2022

Drake, Timothy

Director — since 1998

Gilbert, Victoria

Managing employee — since 2022

N & R of Fulton, Inc.

Operational control — since 1998

Stutts, Charlotte

Officer — since 1998

Regulatory standing

Licensed / certified since

1996-12-16

License expires

2027-09-23

CMS overall rating

2 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$8,018 total

Last standard inspection

2025-06-27

Nurse staffing

2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$212 per day (≈ $6,440/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

82% Medicaid · 3% Medicare · 15% private/other

Occupancy

47% (fiscal year 2023)

Vs. state median

18% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

100

Licensed as

SNF

Memory care

Yes — dedicated memory care

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-04-09Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-05-26

2026-01-14Health inspectionComplaint-triggered1 citation

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-02-22

12 earlier / fire-safety inspections (71 citations)

2025-12-31Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-01-17

2025-11-19Health inspectionComplaint-triggered1 citation

F-0727

E · No harm foundFrom a complaint

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.

Corrected 2025-11-27

2025-06-27Health inspection12 citations

F-0578

E · No harm found

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.

Corrected 2025-07-30

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-07-30

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-07-30

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-07-30

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-30

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-30

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-07-30

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-07-30

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-30

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-07-30

F-0882

F · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-07-30

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-07-30

2025-05-14Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-23

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-30

2024-10-02Health inspectionComplaint-triggered1 citation

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-30

2024-05-02Health inspection16 citations

F-0577

C · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-06-10

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-10

F-0584

E · No harm found

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.

Corrected 2024-06-10

F-0625

E · No harm found

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.

Corrected 2024-06-10

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-06-10

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-06-10

F-0638

D · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-06-10

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-06-10

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-10

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-06-10

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-10

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-10

F-0758

E · No harm found

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.

Corrected 2024-06-10

F-0761

E · No harm found

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.

Corrected 2024-06-10

F-0801

E · No harm foundFood safety

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.

Corrected 2024-06-10

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-06-10

2024-02-21Health inspectionComplaint-triggered1 citation

F-0658

E · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-02

2023-10-24Health inspectionComplaint-triggered1 citation

F-0638

E · No harm foundFrom a complaint

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-12-04

2023-04-13Health inspection13 citations

F-0584

E · No harm found

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.

Corrected 2023-05-23

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-05-23

F-0625

D · No harm found

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.

Corrected 2023-05-23

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-23

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-23

F-0680

C · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2023-05-23

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-23

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-05-23

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2023-05-23

F-0758

E · No harm found

Corrected 2023-05-23

F-0761

E · No harm found

Corrected 2023-05-23

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-05-23

F-0882

C · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-05-23

2025-06-27Fire-safety inspection7 citations

E-0009

F · No harm found

Include a process for Emergency Preparedness collaboration.

Corrected 2025-07-30

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-07-30

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-07-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-30

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-07-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-30

2024-05-02Fire-safety inspection7 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-10

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2024-06-10

K-0347

D · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-06-10

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-06-10

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-10

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-10

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-06-10

2023-04-13Fire-safety inspection9 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-23

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-05-23

K-0500

F · No harm found

Meet other general requirements that are deficient.

Corrected 2023-05-23

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-05-23

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-23

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-05-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-23

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-05-23

K-0925

E · No harm found

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2023-05-23

Federal penalties

2024-10-02Fine$8,018

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265663.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 74% of nursing homes in the state

State median: 50

Federal fines, 3 years

$8,018

More than 60% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

2.7

Higher than 14% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

64%

Higher than 68% of nursing homes in the state

State median: 57%

Resident outcomes

On 17 federal quality measures, this facility does better than the Missouri average on 7 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	14.3%	17.4%	13.5%	Better than state
Lose too much weight	3.0%	5.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.6%	0.9%	0.7%	Better than state
With a urinary tract infection	3.2%	2.2%	1.5%	Worse than state
Have depressive symptoms	2.1%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	7.5%	4.0%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	91.7%	84.0%	93.7%	Near state average
Ability to walk independently worsened	11.4%	15.8%	12.7%	Better than state
Received an antianxiety or hypnotic medication	39.7%	25.6%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	95.7%	90.8%	95.3%	Near state average
With pressure ulcers	5.5%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	12.8%	17.1%	18.3%	Better than state
Received an antipsychotic medication	37.8%	23.5%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	56.7%	65.7%	82.3%	Worse than state
Newly received an antipsychotic medication	3.1%	2.1%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	45.5%	61.4%	80.1%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0637 2 inspections. Assess the resident when there is a significant change in condition
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Boone Hospital Center, about 21 miles. CMS rating 4 of 5.
Columbia Mo Va Medical Center, about 21 miles. CMS rating 4 of 5.
Hermann Area District Hospital, about 29 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Kingdom Care Senior Living, Fulton, about 0.5 miles. CMS rating 3 of 5.
Fulton Manor Care Center, Fulton, about 0.6 miles. CMS rating 1 of 5.
Riverview Nursing Center, Mokane, about 13 miles. CMS rating 4 of 5.
Lenoir Health Care Center, Columbia, about 19 miles. CMS rating 5 of 5.
Neighborhoods Rehabilitation and Skilled Nursing B, Columbia, about 19 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

3.414 ratings on Google

★Titanic Truths LLC · 2025-02-04 · via Google
“DISCRIMINATION!!! UPDATED My mother is in this facility and is down the hall from a 39yo female dialysis resident. I am a 37yo man and on dialysis ONCE A WEEK and they flat out refuse to take me. I am considering filing discrimination charges as I 100% believe this is gender based discrimination. They first claimed they couldnt get me to dialysis , clearly false. Then they claimed I was too youn…”

★Some One · 2019-10-31 · via Google
“This place has been a utter nightmare the past 5 years my grandmother has been a resident. Even after her passing several irreplaceable personal objects have gone missing staff is no help and extremely rude. You think a nursing home would be caring and understanding after the passing of a resident. Absolutely not. We were denied transferring her to a different facility an the administrator Vicky w…”

★Ada Mulkins · 2024-02-07 · via Google
“I have been a resident here for over a year. My main concern is they dont know how to handle a special diet, I am on a gluten free diet and half the time I dont get a neal”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 73 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered