Quick answers
- Where is Fulton Nursing & Rehab?
- 1510 Bluff Street, Fulton, MO 65251, in Callaway County, Missouri.
- What is the phone number of Fulton Nursing & Rehab?
- (573) 642-0202, as listed by Medicare (CMS).
- What is the Medicare star rating of Fulton Nursing & Rehab?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Fulton Nursing & Rehab been fined?
- Medicare lists 1 fine totaling $8,018.
- What did inspectors find at Fulton Nursing & Rehab?
- In its last three inspection cycles (April 13, 2023 to April 9, 2026), Medicare lists 50 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 13, 2023 to April 9, 2026), Fulton Nursing & Rehab had 50 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,018 in total (1 fine, the latest on October 2, 2024). Nurse staffing is 2.70 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 27, 2025 — 16 health citations
Inspections in this cycle: June 27, 2025 (standard health inspection); November 19, 2025 (complaint investigation); December 31, 2025 (complaint investigation); January 14, 2026 (complaint investigation); April 9, 2026 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0727 Level E
“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.”
F0578 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0732 Level C
“Post nurse staffing information every day.”
Previous cycle: May 2, 2024 — 19 health citations
Inspections in this cycle: May 2, 2024 (standard health inspection); October 2, 2024 (complaint investigation); May 14, 2025 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 18 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0584 Level E
“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.”
F0625 Level E
“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.”
F0637 Level E
“Assess the resident when there is a significant change in condition”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0758 Level E
“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.”
F0761 Level E
“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.”
F0801 Level E
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0577 Level C
“Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”
Earlier cycle: April 13, 2023 — 15 health citations
Inspections in this cycle: April 13, 2023 (standard health inspection); October 24, 2023 (complaint investigation); February 21, 2024 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0638 Level E
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0584 Level E
“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.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0758 Level E
“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.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0680 Level C
“Ensure the activities program is directed by a qualified professional.”
F0732 Level C
“Post nurse staffing information every day.”
F0882 Level C
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (23)
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
K0222 Level F
“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.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0222 Level F
“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.”
K0281 Level F
“Install proper backup exit lighting.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0347 Level D
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0500 Level F
“Meet other general requirements that are deficient.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0925 Level E
“Ensure that sources of ignition are removed from patients receiving respiratory therapy.”
Fines and payment denials
Total fines over about the last three years: $8,018 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| October 2, 2024 | Fine | $8,018 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.19 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.43 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.08 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 2.70 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.49 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.19 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 63.8% | 56.9% | 45.3% |
| RN turnover (per year) | 50.0% | 50.0% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 55 nursing homes: James & Judy Lincoln.
Legal business name: N & R of Fulton, Inc..
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Lincoln, James | Direct owner | 50% | August 1, 1998 |
| Lincoln, Judy | Direct owner | 50% | August 1, 1998 |
| N & R of Fulton, Inc. | Management company (operational or managerial control) | NOT APPLICABLE | August 1, 1998 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 100 |
| Average residents per day | 66.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | James & Judy Lincoln |
| Legal business name | N & R of Fulton, Inc. |
| First approved by Medicare/Medicaid | 1996-12-16 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1510 Bluff Street, Fulton, MO 65251 |
| County | Callaway County |
| State | Missouri |
| Phone | (573) 642‑0202 |
| CMS Certification Number | 265663 |
| Name in Medicare records | FULTON NURSING & REHAB |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Kingdom Care Senior Living0.5 mi · Fulton, MO · 3 of 5 stars
- Fulton Manor Care Center0.6 mi · Fulton, MO · 1 of 5 stars
- Riverview Nursing Center13 mi · Mokane, MO · 4 of 5 stars
- Lenoir Health Care Center19 mi · Columbia, MO · 5 of 5 stars
- Neighborhoods Rehabilitation and Skilled Nursing B19 mi · Columbia, MO · 2 of 5 stars
Nearest hospital emergency rooms
- Boone Hospital Center21 mi · Columbia, MO · Acute Care Hospital
- Columbia Mo VA Medical Center21 mi · Columbia, MO · Federal/VA Acute Care Hospital
- SSM Health St. Mary's Hospital - Jefferson City27 mi · Jefferson City, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13