Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 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.
Food storage and staff attire standards were not followed in the kitchen. Dry goods were found on the floor, dented cans remained on the active shelf for resident use, a refrigerator holding residents' drinks was above the required temp, and freezer items were uncovered and exposed to ice particles. The DM also prepared meal plates with his beard net below his mustache, despite knowing facial hair was supposed to be fully covered.
Unsanitary Kitchen Environment: The facility failed to keep the kitchen clean and sanitary. Surveyors observed grime on pantry and refrigerator doors, food crumbs in refrigerator seals, black grime on the ice machine, brown splatters on walls, grimy floors, soiled garbage cans, and splatters around the sink area. The DM stated he did not regularly monitor kitchen cleaning, and staff reported cleaning duties were assigned but not consistently completed.
A facility failed to maintain a safe, clean, comfortable, and homelike dining room environment. Surveyors observed dried red and brown splash marks on the walls near the dishwasher and exit doors, and the Housekeeping Supervisor said there was no cleaning schedule for the dining room and the walls had last been cleaned about a month earlier. The dining room light covers also had dark areas inside the lenses, and the DOR stated there was no formal schedule for cleaning the lights; one broken lens had been placed back up, leaving an opening where the bulb could be seen.
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.
Food Storage and Staff Attire Standards Not Followed
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Review of facility policy showed dry goods were to be stored six inches above the floor and cold foods were to be stored in accordance with FDA Food Code guidance, with food kept covered, labeled, dated, and arranged to prevent cross-contamination. During kitchen observation, two cases of boxed juices were stored directly on the floor in the dry pantry, and several dented cans of marinara sauce, 3-bean salad, and banana pudding remained on the active storage shelf to be served to residents. The Dietary Manager stated the items on the floor had come in with a delivery and should have been placed on shelves immediately, and that the dented cans should have been removed and discarded but were overlooked. Further observation showed the 3-door refrigerator was above the required 41 degrees F, measuring 45 degrees F and later 49 degrees F, while residents' drinks remained stored inside even though the temperature was out of range. In the outdoor freezer, a box of sausage patties had uncovered interior plastic, and a box of croissants with uncovered plastic wrapping was stored under the condenser and covered with ice particles. The Dietary Manager stated he did not believe there was concern for storing residents' drinks at 49 degrees F, despite knowing cold items were required to be stored at 41 degrees F, and said food containers were expected to be covered securely to prevent contamination. The facility also failed to follow its staff attire policy when the Dietary Manager was observed preparing meal plates with his beard net below his mustache; he acknowledged the beard net was not covering all facial hair and stated this could allow hair to fall into residents' food.
Unsanitary Kitchen Environment
Penalty
Summary
The nursing home failed to ensure the kitchen area was maintained in a safe, functional, sanitary, and comfortable condition for residents, staff, and the public. Review of the facility’s Master Cleaning Schedule showed daily cleaning assignments for floors, backsplash, walls, the ice machine, sinks, and coolers, with staff required to initial when tasks were completed. However, when the State Survey Agency surveyor requested a dietary sanitation policy, none was provided. During observation of the kitchen, the pantry door was covered with grime, the wall outside the dry pantry storage had brown liquid splatters, refrigerator doors were covered in grime with food crumbs caked in the door seals, and the ice machine had black grime on the side and front. Additional observation showed the walls across from the dishwasher were covered with brown splatters and grime, the floors around the ice machine and metal dishwasher table were caked with a black substance, open floor areas were grimy, two white metal garbage cans were covered with food splatters and brownish grime, and the front of the metal sink and the wall above it were covered with food and liquid splatters and brownish grime. The Dietary Manager stated he did not regularly follow up on monitoring the cleaning in the kitchen and acknowledged that failing to ensure cleanliness could potentially cause harm to residents if food was served from an unsanitary kitchen. A Dietary Aide stated routine cleaning was part of daily duties and staff were supposed to sign off when tasks were completed, but said the kitchen could be kept in better condition and did not recall cleaning debris from refrigerator door seals. A Cook stated dietary staff were supposed to be cleaning the kitchen areas and that the condition of the kitchen raised sanitation and contamination concerns. The Administrator stated expectations were that staff would follow the cleaning schedule and that the Dietary Manager should monitor to verify the work was completed.
Dining Room Not Kept Clean and Homelike
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for residents eating meals in the dining room. During observation on 06/03/2026, red and brown dried splash marks were seen on the dining room walls next to the dishwasher entrance door and the exit door. The facility policy titled, Safe and Homelike Environment, defined sanitary as preventing the spread of disease-causing organisms, including by keeping resident care equipment clean. The Housekeeping Supervisor stated there was no cleaning schedule for the dining room area and that the walls in that area had last been cleaned about a month earlier. She said the dried substances were food slung on the walls by kitchen staff during post-meal cleanup, and that kitchen staff were supposed to clean the dining room after meals. The dining room fluorescent light covers also had dark areas on the inside of the lens, and the Director of Maintenance stated the lenses were last cleaned in February 2026 and that there was no formal schedule for cleaning the lights. He reported one lens had broken during cleaning and the remainder was placed back up, leaving an opening where the bulb could be seen. The Administrator stated her expectation was for nightly cleaning of the floors, tables, chairs, and walls.
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 | ★★★★★ | 0 | 0 |
| Clinton-hickman County Nursing Facility | 11.4 mi | ★★★★★ | 5 | 0 |
| Clinton Place | 11.9 mi | ★★★★★ | 1 | 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 August 2026) and official state health department websites.