Wauseon, OH

Fulton Manor Nursing & Rehab C

5-star overall rating with 4-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

723 South Shoop Avenue, Wauseon, OH

(419) 335-2017

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

71

Certified beds

Average residents

63

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-11-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.18

Registered nurse staffing

LPN hours / resident day

0.51

Licensed practical nurse staffing

Aide hours / resident day

2.18

Nurse aide staffing

Weekend hours

3.46

Weekend nurse staffing

RN turnover

47%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.8
0.9 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.8
1.2 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.4%
7.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.5%
5.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 7.4%
3.3%
4.1 pts worse
3.3%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
26.1%
26.1 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.0%
6.2%
3.2 pts better
5.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.9%
25.4%
7.5 pts better
19.6%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.3%
11.5%
2.8 pts worse
16.7%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 16.4%
7.7%
8.7 pts worse
16.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 27.3%
6.2%
21.1 pts worse
14.9%
12.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.2%
0.3 pts worse
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
0.5%
0.9 pts worse
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.8%
21.7%
2.9 pts better
19.8%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.3%
3.7%
1.6 pts worse
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
78.1%
21.9 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.4%
12.5%
1.1 pts better
12.0%
0.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.2%
0.8 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.4%
75.6%
18.8 pts better
79.7%
14.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.2%
25.1%
6.9 pts better
23.9%
5.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-31 · Fire 2023-08-31

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2020-03-05 · Fire 2020-03-05

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-01-17 · Fire 2019-01-17

16 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-08-31

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-30

E · Potential for more than minimal harm 2023-08-31

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-09-30

E · Potential for more than minimal harm 2020-03-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-04-03

E · Potential for more than minimal harm 2020-03-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-04-03

E · Potential for more than minimal harm 2020-03-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-04-03

E · Potential for more than minimal harm 2020-03-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-04-03

F · Potential for more than minimal harm 2019-01-17

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2019-02-28

E · Potential for more than minimal harm 2019-01-17

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-02-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-10

F580 · Resident Rights Deficiencies

Health

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

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-09

D · Potential for more than minimal harm 2023-10-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-31

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-31

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-31

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-31

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-30

D · Potential for more than minimal harm 2020-03-05

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2020-04-03

D · Potential for more than minimal harm 2020-03-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-04-03

C · Minimal harm 2020-03-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-04-03

F · Potential for more than minimal harm 2019-01-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-02-28

D · Potential for more than minimal harm 2019-01-17

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2019-02-28

Penalties and ownership

What sits behind the stars

Ownership

Finn, Patricia

Operational/Managerial Control · Individual

0% 1 facilities 2012-09-01
Finn, Patricia

Corporate Officer · Individual

0% 1 facilities 2012-09-01
Gillespie, Sharon

Corporate Director · Individual

0% 1 facilities 2007-04-23
Grieser, David

Corporate Director · Individual

0% 1 facilities 2010-02-22
Hagans, Mark

Corporate Director · Individual

0% 1 facilities 2007-04-23
Hagerman, Kimberly

Corporate Director · Individual

0% 1 facilities 2013-06-27
Kazmierczak, Rick

Corporate Director · Individual

0% 1 facilities 2013-01-28
Kolb, Brett

Corporate Director · Individual

0% 1 facilities 2010-02-22
Kolb, Brett

Corporate Officer · Individual

0% 1 facilities 2024-02-26
Maloney, Stephen

Corporate Director · Individual

0% 1 facilities 2024-07-22
Mealer, Brock

Corporate Director · Individual

0% 1 facilities 2021-01-25
Mealer, Brock

Corporate Officer · Individual

0% 1 facilities 2024-02-26
Miller, Kayla

Corporate Director · Individual

0% 2 facilities 2023-01-23
Onweller, Frank

Corporate Director · Individual

0% 1 facilities 2023-03-27
Rupp, Jonathon

Corporate Director · Individual

0% 1 facilities 2012-03-26
Savage, Michelle

Corporate Director · Individual

0% 2 facilities 2024-06-24
Smallman, Mary

Operational/Managerial Control · Individual

0% 1 facilities 2009-05-01
Stover, Sarah

Operational/Managerial Control · Individual

0% 1 facilities 2019-12-01
Stover, Sarah

Corporate Officer · Individual

0% 1 facilities 2019-12-01
Taylor, Rebecca

Corporate Officer · Individual

0% 1 facilities 2020-12-16
Weldy, Kirk

Corporate Director · Individual

0% 1 facilities 2023-01-23
Willeman, Matthew

Corporate Officer · Individual

0% 1 facilities 2023-05-28

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