Federal inspection record · CMS data as of October 1, 2026
Kingdom Care Senior Living
811 Center Street, Fulton, MO · (573) 642-6646
- Certified beds
- 36
- Residents per day
- 29
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Kingdom Care Senior Living carries 72 inspection points. That is fewer than 55% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning6E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care6E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights6E
- C
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.
- E
Honor the resident's right to manage his or her financial affairs.
- 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.
- D
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.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- C
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.
Administration3F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Infection Control3E
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2026-04-15
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-09-12
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-09-13
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 3 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts better | 96.7% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts worse | 88.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 4.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.8 pts better | 1.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts worse | 8.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.6 pts better | 12.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication18 pts better | 5.5% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.3 pts better | 13.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10 pts worse | 27.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 19.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.1 pts worse | 8.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.2 pts better | 98.9% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts better | 9.7% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.9% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.8 pts worse | 47.6% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts worse | 31.3% | 25.7% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aycock, Michelle | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Aycock, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Aycock, William | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Aycock, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gerard, Chanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gerard, Chanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sjoblom, Beth | Adp Of The SNF · Individual | 0% | 2 facilities |
| Young, Bobbie | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Young, Bobbie | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress2F
- 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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems2F
- F
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
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Fulton Nursing & Rehab
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 42 min
- Fines
- $8,018
-
Fulton Manor Care Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0
-
Riverview Nursing Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 28 min
- Fines
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