Fulton Gardens Post Acute, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (19 vs median 13.0)
Below average in CA · Below recommended RN staffing · No penalties on record
What this means for your family
This facility is a strong candidate for rehabilitation and dementia care due to its highly praised therapy teams and clean environment. However, families must be extremely vigilant regarding medical oversight, specifically monitoring for signs of infection and ensuring that pain medications are being administered as prescribed, as multiple reviewers have noted failures in these areas.
Google Reviews
Google Reviews
47 reviews on Google“Families often praise the facility for its exceptional rehabilitation programs and the compassionate nature of the nursing and therapy staff, particularly during end-of-life care or post-stroke recovery. However, there are serious, recurring allegations regarding medical oversight, including failure to manage infections and delays in administering pain medication. While many find the facility clean and well-maintained, some reviewers report significant issues with communication and responsiveness from the night shift.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation and physical therapy programs
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Positive environment for dementia care
Concerns
- Medical oversight and failure to detect infections (mentioned by 2 reviewers)
- Inadequate responsiveness from night shift/unanswered phones (mentioned by 2 reviewers)
- Inconsistent medication management and pain control (mentioned by 2 reviewers)
- Staffing shortages or lack of adequate knowledge (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 49 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy and rehab programs; how do you tailor those sessions to a resident's specific recovery goals?
- 2What specific protocols do you have in place to ensure medication is administered accurately and that pain levels are monitored closely?
- 3How does the nursing team handle medical monitoring and infection detection, especially during the overnight hours?
- 4With the focus on dementia care being a strength here, what kind of daily social activities or sensory programs do you offer to keep residents engaged?
- 5How do you ensure consistent communication between the nursing staff and family members regarding any changes in a resident's health?
- 6What is your process for ensuring that all staff members, including those on the night shift, are fully responsive to call lights and resident needs?
Personalized based on this facility's data
Key Review Excerpts
“The rehabilitation program was great and the rehab staff were fantastic. The staff at Fulton gardens ( especially the RNs and CNAs kept me informed of everything going on with him in a timely manner”
“I was so scared to put my 75 yr old mom here because nursing homes have such bad reputations, but the nurses and their CNAs were so attentive to my mom for the past 4 months. She had an open wound and there was a treatment nurse who saw her regularly and it improved dramatically.”
“If I could give this place a zero I would!! During the day is good, my uncles CNA William was absolutely amazing and attentive, the night shift crew and staff are HORRIBLE!! No one ever answers the phone!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
16
measures
1
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows significant concerns with families filing multiple complaints that triggered investigations, revealing issues with accident prevention, abuse protection, and maintaining a safe environment. The most recurring problems involve medication management, accident hazard prevention, and nutrition services, with safety violations appearing repeatedly across surveys from 2022 to 2025. While the facility reports correcting each deficiency, the persistent pattern of similar issues—particularly around resident safety and medication errors—suggests ongoing quality control challenges that families should carefully evaluate before choosing this facility.
Nov 18, 2025Complaint3
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 18, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 10, 2025Routine23
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Nov 15, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 2, 2024Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 15, 2023Routine23
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Ownership & Operations
Who Operates This Facility
Fulton Gardens Post Acute, LLC
for profit
Ownership & Management
Owners
Abby Gl LLC
Owner · Organization
Gans, Barry
Owner
Sims, James
Owner
Lynch, Jose
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit fultongardenspostacute.com
Medicare data downloads
Original nursing home datasets
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