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

Certified beds

Average residents

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

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.18

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.51

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.87

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.79

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.42

CMS adjusted RN staffing hours

Adjusted total hours

4.66

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,456

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9896

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.63

Baseline 17.77% · Performance 19.75% · Measure score 3.63 · Achievement 3.63 · Improvement 0

Healthcare-associated infections

5.36

Baseline 5.19% · Performance 6.23% · Measure score 5.36 · Achievement 5.36 · Improvement 0

Total nurse turnover

2.33

Baseline 40.00% · Performance 54.17% · Measure score 2.33 · Achievement 2.33 · Improvement 0

Adjusted total nurse staffing

3.14

Baseline 4.23 hours · Performance 3.97 hours · Measure score 3.14 · Achievement 3.14 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.95%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 158 · Observed rate 12.03% · Lower 95% interval 9%
Discharge to community	56.79%	50.57% 6.2 pts better	No Different than the National Rate · Eligible stays 142 · Observed rate 57.75% · Lower 95% interval 49.7%
Medicare spending per beneficiary	0.71	1.02 0.3 pts better
Drug regimen review with follow-up	60.24%	95.27% 35 pts worse	Numerator 50 · Denominator 83
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 83
Discharge self-care score	43.42%	53.69% 10.3 pts worse	Numerator 33 · Denominator 76
Discharge mobility score	52.63%	50.94% 1.7 pts better	Numerator 40 · Denominator 76
Pressure ulcers or injuries, new or worsened	6.02%	2.29% 3.7 pts worse	Numerator 5 · Denominator 83 · Adjusted rate 7.01%
Healthcare-associated infections requiring hospitalization	6.23%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 67 · Observed rate 2.99% · Lower 95% interval 3.26%
Staff COVID-19 vaccination coverage	2.28%	8.2% 5.9 pts worse	Numerator 5 · Denominator 219
Staff flu vaccination coverage	51.11%	42% 9.1 pts better	Numerator 115 · Denominator 225
Discharge function score	56.58%	56.45% 0.1 pts better	Numerator 43 · Denominator 76
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 56 · Denominator 56
Resident COVID-19 vaccinations up to date	29.55%	25.2% 4.4 pts better	Numerator 13 · Denominator 44

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 · Adjusted 0.9 · Observed 0.9 · Expected 1.9 · Used in QM five-star
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 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
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 · Q1 6.0% · Q2 1.9% · Q3 10.3% · Q4 10.9% · 4Q avg 7.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 6.5% · Q2 0.0% · Q3 3.6% · Q4 2.0% · 4Q avg 3.0%
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 · Q1 19.6% · Q2 14.0% · Q3 17.9% · Q4 20.4% · 4Q avg 17.9%
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 · Q1 8.1% · Q2 14.3% · Q3 15.9% · Q4 18.4% · 4Q avg 14.3% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 30.3% · Q2 2.8% · Q3 11.6% · Q4 20.9% · 4Q avg 16.4% · Used in QM five-star
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 · Q1 35.6% · Q2 6.1% · Q3 39.6% · Q4 27.7% · 4Q avg 27.3% · Used in QM five-star
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 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
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 · Q1 2.0% · Q2 1.9% · Q3 1.8% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
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 · Q1 22.6% · Q2 16.1% · Q3 21.3% · Q4 15.5% · 4Q avg 18.8%
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 · Q1 16.7% · Q2 3.0% · Q3 2.5% · Q4 0.0% · 4Q avg 5.3% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · Adjusted 11.4% · Observed 11.0% · Expected 10.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.4% · Used in QM five-star
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 · 4Q avg 94.4%
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 · Adjusted 18.2% · Observed 15.9% · Expected 20.7% · Used in QM five-star

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