Fulton, KY

Fulton Nursing and Rehabilitation, LLC

2-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1004 Holiday Lane, Fulton, KY

(270) 472-1971

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

54

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1967-03-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

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

0.26

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

1.73

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

2.66

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

0.94

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

2.50

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

2.63

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,412

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

Performance score

12.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.79

Baseline 18.74% · Performance 21.07% · Measure score 0.79 · Achievement 0.79 · Improvement 0

Healthcare-associated infections

1.54

Baseline 7.91% · Performance 7.37% · Measure score 1.54 · Achievement 1.54 · Improvement 1.33

Total nurse turnover

2.63

Baseline 63.64% · Performance 52.94% · Measure score 2.63 · Achievement 2.63 · Improvement 2.26

Adjusted total nurse staffing

0

Baseline 3.19 hours · Performance 2.80 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.65%	10.72% 2.9 pts worse	No Different than the National Rate · Eligible stays 69 · Observed rate 21.74% · Lower 95% interval 9.41%
Discharge to community	35.16%	50.57% 15.4 pts worse	Worse than the National Rate · Eligible stays 51 · Observed rate 23.53% · Lower 95% interval 21.61%
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	97.06%	95.27% 1.8 pts better	Numerator 33 · Denominator 34
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 34
Discharge self-care score	45.83%	53.69% 7.9 pts worse	Numerator 11 · Denominator 24
Discharge mobility score	25%	50.94% 25.9 pts worse	Numerator 6 · Denominator 24
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 34 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.37%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 3.68%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 39
Staff flu vaccination coverage	17.5%	42% 24.5 pts worse	Numerator 7 · Denominator 40
Discharge function score	25%	56.45% 31.5 pts worse	Numerator 6 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	44%	25.2% 18.8 pts better	Numerator 11 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.9 0.3 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.6	2.2 2.4 pts worse	1.8 2.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.6 · Observed 3.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	82.0%	94.3% 12.3 pts worse	93.4% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 64.6% · Q2 80.4% · Q3 91.7% · Q4 91.5% · 4Q avg 82.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.0%	96.2% 2.2 pts worse	95.5% 1.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.8% 0.4 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.5% · Q3 4.2% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.7%	15.2% 0.5 pts worse	11.4% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 11.1% · Q3 13.3% · Q4 17.8% · 4Q avg 15.7%
Percentage of long-stay residents who lose too much weight	1.9%	6.7% 4.8 pts better	5.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.0% · Q4 2.6% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	29.6% 1.1 pts worse	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 32.5% · Q3 27.5% · Q4 26.3% · 4Q avg 30.7%
Percentage of long-stay residents who received an antipsychotic medication	11.3%	17.6% 6.3 pts better	16.7% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 14.8% · Q3 10.7% · Q4 11.5% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 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	25.6%	17.3% 8.3 pts worse	16.3% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 30.8% · Q3 40.4% · Q4 12.5% · 4Q avg 25.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.5%	15.6% 4.9 pts worse	14.9% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 18.4% · Q3 18.9% · Q4 20.6% · 4Q avg 20.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.7% 0.1 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.7% 1.1 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.8%	19.8% About the same	19.8% About the same	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 13.7% · Q3 35.1% · Q4 15.3% · 4Q avg 19.8%
Percentage of long-stay residents with pressure ulcers	6.6%	5.5% 1.1 pts worse	5.1% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 9.1% · Q3 4.2% · Q4 10.0% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.6%	83.8% 14.2 pts worse	81.7% 12.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.9% · Q2 62.3% · Q3 71.1% · Q4 73.7% · 4Q avg 69.6%
Percentage of short-stay residents who had an outpatient emergency department visit	32.5%	13.9% 18.6 pts worse	12.0% 20.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 32.4% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.8% 1.8 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	64.2%	83.6% 19.4 pts worse	79.7% 15.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 64.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.3%	24.5% 4.2 pts better	23.9% 3.6 pts better	Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 20.6% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-22 · Fire 2025-05-22

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2020-02-20 · Fire 2020-02-20

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-01-29 · Fire 2019-01-29

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-22

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-05-22

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-16

F · Potential for more than minimal harm 2020-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-03-16

E · Potential for more than minimal harm 2020-02-20

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2020-03-16

E · Potential for more than minimal harm 2020-02-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-03-16

D · Potential for more than minimal harm 2020-02-20

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2020-03-16

D · Potential for more than minimal harm 2020-02-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2020-03-16

D · Potential for more than minimal harm 2020-02-20

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2020-03-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-22

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 2025-06-16

D · Potential for more than minimal harm 2025-05-22

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-16

F · Potential for more than minimal harm 2019-01-29

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 2019-02-20

D · Potential for more than minimal harm 2019-01-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-29

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-29

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-02-20

Penalties and ownership