Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fulton Nursing And Rehabilitation, Llc during CMS and state inspections, most recent first.
Surveyors found multiple food items in the kitchen's reach-in cooler that were not labeled, dated, or were past their use-by dates, including containers of blackberries and blueberries with mold, hard-boiled eggs, and rice. The Dietary Manager confirmed that staff were responsible for labeling and checking items, but the task was not specifically assigned, leading to noncompliance with facility policy and FDA guidelines.
A resident admitted with schizophrenia, depression, and anxiety was not given a required PASARR Level I screening prior to admission, and was not referred for a Level II PASARR after two inpatient psychiatric treatments, despite facility policy. Staff interviews revealed confusion about PASARR responsibilities, and the resident was unaware of any assessment.
A resident with a history of schizophrenia, anxiety, and depression was readmitted from a behavioral health unit after exhibiting escalating behaviors, including paranoia, hallucinations, and threats. Despite facility policy requiring interdisciplinary review and revision of the comprehensive care plan after significant changes or hospitalizations, the care plan was not updated to reflect the resident's recent behavioral episode, new diagnoses, or recommendations from the behavioral health stay.
A nurse failed to follow infection prevention and control protocols while providing perineal care to a resident with severe cognitive impairment. The nurse used the same washcloth for multiple areas, discarded soiled linens on the floor, retrieved clean clothing without removing gloves, and did not follow proper PPE removal or hand hygiene procedures, all contrary to facility policy.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
Surveyors observed multiple food storage violations during a kitchen tour, including several items in the reach-in cooler that were not labeled or dated, and some with use-by dates that had already passed. Specifically, three opened containers of blackberries were found dried out, not labeled or dated, and covered with a white substance. Two containers of opened blueberries were also dried out, not labeled or dated, and contained mold. Additionally, a container with three hard-boiled eggs was not labeled or dated, and a bowl of white rice was found with a use-by date that was nine days prior to the observation. Interviews with the Dietary Manager revealed that all items were supposed to be labeled and dated before storage, and that kitchen staff were responsible for checking the coolers daily, though this task was not specifically assigned to anyone. The Dietary Manager and the Administrator both acknowledged that failure to follow these procedures could result in residents being served expired or improperly stored food. Facility policy required all food items to be stored in covered containers, labeled, dated, and arranged to prevent cross-contamination, in accordance with FDA Food Code guidelines.
Failure to Complete Required PASARR Screenings and Referrals for Mental Health Diagnoses
Penalty
Summary
The facility failed to complete a required pre-admission screening and resident review (PASARR) for a resident with mental disorders prior to admission. The facility's policy required all applicants to be screened for serious mental disorders or intellectual disabilities before admission, and to coordinate assessments with the PASARR program. The resident in question was admitted with diagnoses including schizophrenia, depression, and generalized anxiety disorder, but there was no evidence that a PASARR Level I screening was completed prior to admission. Additionally, the facility did not refer the resident for a Level II PASARR following two separate inpatient psychiatric treatments after admission, as required by policy for residents exhibiting behavioral or psychiatric symptoms or following intensive psychiatric treatment. Interviews with facility staff revealed confusion and lack of clarity regarding responsibility for PASARR assessments. The interim DON believed admissions staff and the social worker were responsible, while the Administrator stated she completed Level I assessments but did not believe hospitalization on a behavioral health unit necessitated a Level II assessment. The resident confirmed being sent out for behavioral issues twice since admission and was unaware of any PASARR assessment. The facility's failure to complete the required screenings and referrals resulted in noncompliance with both facility policy and regulatory requirements.
Failure to Revise Care Plan After Behavioral Health Readmission
Penalty
Summary
The facility failed to review and revise the comprehensive care plan (CCP) for a resident following her readmission from a behavioral health unit (BHU). The facility's policy required that the CCP be reviewed and updated by the interdisciplinary team (IDT) after each comprehensive and quarterly Minimum Data Set (MDS) assessment, as well as after significant changes in the resident's condition. Despite this, the care plan for the resident, who had diagnoses including generalized anxiety disorder, schizophrenia, and depression, was not updated to reflect her recent behavioral health episode and subsequent readmission. The resident had a history of behavioral symptoms, including resisting care, urinating on the floor, and sitting on the floor, which were documented in her initial care plan. However, in the period leading up to her transfer to the BHU, she exhibited escalating behaviors such as paranoia, hallucinations, threats to staff and her roommate, and requests for police intervention. Nursing progress notes documented these behaviors, as well as the facility's actions to reassure her and eventually arrange for her transfer to the BHU for medical stabilization due to hallucinations, delusions, and threatening behavior. Upon her return from the BHU, the facility did not revise the resident's care plan to include her recent behaviors, updated diagnoses, or recommendations from the behavioral health stay. Interviews with the DON and Administrator confirmed that the expectation was for care plans to be reviewed and revised after hospital stays and to reflect all current and historical behaviors, but this was not done in this case.
Failure to Follow Infection Control Protocols During Perineal Care
Penalty
Summary
A deficiency was identified when a nurse failed to follow established infection prevention and control protocols during the provision of perineal care to a resident with severe cognitive impairment. The resident, who had diagnoses including unspecified dementia, hypertension, and depression, was observed standing in her room with wet socks and pants on the floor. The nurse entered the room wearing PPE, although the resident was not on any type of precautions, and did not assist the resident to the bed or provide privacy. During care, the nurse used a single washcloth to wipe both the resident's buttocks and between her legs, contrary to facility policy requiring separate washcloths for each area. The soiled washcloth and towel were thrown onto the floor instead of being placed in a designated receptacle. The nurse then retrieved clean clothing from the closet without removing her gloves, dressed the resident, and only after handling soiled linens and removing PPE did she doff her gloves, not following the correct order for PPE removal or hand hygiene procedures. Interviews with the nurse, DON, and Administrator confirmed that the actions taken did not align with facility policies for infection control, perineal care, handling of soiled linens, and PPE use. The nurse admitted to not following proper procedures, including the handling of soiled items and PPE removal, and facility leadership stated expectations that staff adhere to established infection control guidelines.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fulton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Waters Of Union City , Llc | 10.7 mi | ★★★★★ | 4 | 0 |
| Union City Health And Rehabilitation | 10.9 mi | ★★★★★ | 3 | 1 |
| Clinton-hickman County Nursing Facility | 11.4 mi | ★★★★★ | 0 | 0 |
| Clinton Place | 11.9 mi | ★★★★★ | 20 | 0 |
| Vanayer Senior Living And Rehabilitation | 12.5 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.