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Nursing HomeMedicaid Investigative

Fulton Nursing & Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1510 Bluff Street, Fulton, MO 65251100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 14 Google reviews

Fulton Nursing & Rehab Nursing Home in Fulton, MO — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (17 vs median 10)
  • High staff turnover (56%)
  • High RN turnover (67%)

Bottom 25% in MO · Critically understaffed (RN) · Worst in JAMES & JUDY LINCOLN chain · $8,018 in fines · Abuse citation

Source: Medicare data

What this means for your family

Given the serious allegations regarding administrative transparency and dietary management, we strongly advise families to conduct an in-person tour and speak directly with current residents or their families. Please be cautious of the high volume of empty five-star reviews, which may not accurately reflect the daily quality of care.

Google Reviews

Google Reviews

14 reviews on Google
Fulton Nursing & Rehab receives highly polarized feedback, with a significant number of empty five-star ratings contrasted by serious allegations of neglect, administrative misconduct, and discriminatory practices. Families have reported concerns regarding dietary management, the loss of personal property, and unprofessional behavior from leadership.

Quality Themes

Tap a score for details
Food1.0Staff3.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Attentive individual staff members
  • Clean facility environment

Concerns

  • Allegations of resident neglect and abuse (mentioned by 2 reviewers)
  • Administrative misconduct and lack of transparency (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02016(1)2.32019(3)5.02021(1)3.52024(8)3.02025(2)

Distribution · 15 analyzed

5
8
4
0
3
1
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard some wonderful things about how clean and well-maintained the facility is; what are your daily routines for ensuring the resident areas stay so tidy?
  • 2Since we want to stay closely connected with the care team, what is your preferred process for keeping families updated on any changes in a resident's condition?
  • 3How does the dining team approach meal planning to ensure that food is both nutritious and enjoyable for the residents?
  • 4We've noticed some individual staff members are described as very attentive; how do you support your team to ensure that high level of personal care is consistent for everyone?
  • 5In the event of a sudden medical emergency or a change in health status during the night, what is the immediate protocol for notifying the family?
  • 6What kind of daily activities or social programs do you have in place to keep the residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

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

Resident · 2024☆☆☆☆

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.

Long-term resident's family · 2019☆☆☆☆

Had a great experience. Mary P. was absolutely attentive and went above and beyond. Wish more employees were like her!

Family member · 2024★★★★★
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
2.84hrs
69%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both 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

Medicare Rating
1/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility40.8%
Worse than Avg
Here
40.8%
US
15.5%
MO
23.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.5%
Worse than Avg
Here
39.5%
US
19.5%
MO
25.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
12.1%
MO
16.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.9%
Worse than Avg
Here
82.9%
US
93.4%
MO
84.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
15.3%
MO
18.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
19.4%
MO
17.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility56.5%
Worse than Avg
Here
56.5%
US
81.8%
MO
65.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.0%
Better than Avg
Here
87.0%
US
79.8%
MO
63.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility9.1%
Worse than Avg
Here
9.1%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
1penalties
Above state avg (12.0)
10 complaint-triggered
$8,018 in fines

This facility shows a concerning pattern with 73 deficiencies across recent surveys, including families filing multiple complaints about abuse and financial exploitation. The facility has persistent problems with infection control, care planning, medication management, and safety measures that continue recurring across inspections, suggesting systemic issues. While most deficiencies show correction dates, the repeated nature of similar problems indicates ongoing challenges with quality oversight and resident care standards.

Apr 9, 2026Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 14, 2026Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 31, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 19, 2025Complaint
1
0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

Jun 27, 2025Routine
19
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

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

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0578Potential for harm · PatternCorrected

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.

0656Potential for harm · PatternCorrected

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.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

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

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

May 14, 2025Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0600Potential for harm · IsolatedResolved (past non-compliance)

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.

Federal Penalties

Fine

Oct 2, 2024

$8,018

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fulton Nursing & Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 · Rank 44 of 56 (Worst)

Ownership & Management

Owners

Lincoln, James

Owner

50%

Lincoln, Judy

Owner

50%

Key personnel

Gilbert, VictoriaW-2 Managing EmployeeBysor, BrandonOfficer / DirectorCrane, GaryOfficer / DirectorDrake, TimothyOfficer / DirectorStutts, CharlotteOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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