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Fulton Manor Care Center - Fulton Nursing Home

General Information

UPDATE
Federal Provider Number
265760
Provider Name
FULTON MANOR CARE CENTER
Provider Address
520 MANOR DRIVE
FULTON, MO 65251
Provider Phone Number
(573) 642-6834
Provider SSA County
130
Provider County Name
Callaway
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FULTON MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2003-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.02442
Reported LPN Staffing Hours per Resident per Day
0.76047
Reported RN Staffing Hours per Resident per Day
0.71628
Reported Licensed Staffing Hours per Resident per Day
1.47674
Reported Total Nurse Staffing Hours per Resident per Day
4.50117
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01977
Expected CNA Staffing Hours per Resident per Day
2.40404
Expected LPN Staffing Hours per Resident per Day
0.55240
Expected RN Staffing Hours per Resident per Day
0.87513
Expected Total Nurse Staffing Hours per Resident per Day
3.83157
Adjusted CNA Staffing Hours per Resident per Day
3.08690
Adjusted LPN Staffing Hours per Resident per Day
1.14262
Adjusted RN Staffing Hours per Resident per Day
0.61157
Adjusted Total Nurse Staffing Hours per Resident per Day
4.73533
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
3.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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