Fulton Center for Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Fulton Center for Rehabilitation and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Jan 28, 2022

  Based on record review and interviews during a partial extended abbreviated survey (Case #s NY 908 and NY 073) from 01/11/2022 to 01/28/2022, the facility failed to protect each resident's right to be free from abuse for 2 (Resident #s 1 and 2) of 4 residents reviewed. Specifically, on 12/27/2021 night shift, LPN #1 did not report an allegation of abuse to the Administrator per the facility's abuse Policy and procedure. Resident #2 reported to LPN #1 that CNA #2, a provisional employee assigned to B Unit, had touched them inappropriately. Additionally, on 12/27/2021, CNA #5 did not report to Administration or Supervisors when CNA #2, was on the A Unit going in and out of resident rooms looking in Resident #1's room with their cell phone flashlight. […]

• No harm, potential for more than minimal, patternF584Jun 1, 2026

  Based on observation, interview, and record review during a survey, the facility failed to provide a safe, clean, comfortable, and homelike environment. Specifically, the facility failed to maintain sanitary bedside care equipment, ensure clean and orderly bedside food storage, safeguard and properly distribute resident-owned personal property, systematically track and investigate missing personal items, and maintain the structural integrity of physical plant walls. Findings were identified across four sampled residents (Resident #17, Resident #25, Resident #26, and Resident #29) and throughout facility-wide areas as detailed below: Findings include: Review of Facility Policies Home Like Environment (Dated 9/19/2022): Documented that residents must be provided with a safe, clean,… […]

• No harm, potential for more than minimal, patternF600Jun 1, 2026

  Based on record review and interviews during a survey, the facility failed to ensure that residents were free from abuse and or neglect for three (Resident #114, 156, and #181) of seven residents reviewed. Specifically, (a.) Resident #'s 114 and 181 were involved in a resident-to-resident altercation where Resident #181 pushed Resident #114's wheelchair from behind causing the resident to fall from their wheelchair; (b.) Resident #156 was admitted to the hospital with a Discharge summary dated 11/2025 documenting a compression fracture of the lumbar spine level 1. The hospital recommendation were to follow up with Orthopedics because they had recommended a kyphoplasty for the Lumbar 1 compression fracture and Resident #156 should be referred to neurosurgery for the procedure. […]

• No harm, potential for more than minimal, patternF755Jun 1, 2026

  Based on record reviews and interviews conducted during the survey, the facility failed to implement a system to consistently and accurately reconcile controlled medications in accordance with professional standards of practice. Specifically, the narcotic count record signature sheet for five of eight units were signed in advanced or incomplete. Findings include: A review of narcotic count record book for Unit A cart 300 documented: On 05/28/2026 at 11:02 AM the 7 AM-3 PM Licensed Practical Nurse #1 signed in advance as the off going nurse at 3 PM A review of narcotic count record book for Unit C cart 500 documented: On 5/28/2026 at 10:30 AM the 7 AM-3 PM Licensed Practical Nurse #2 had not signed as oncoming nurse at 7 AM A review of 05/2026 narcotic count record book for Unit D cart 800… […]

• No harm, potential for more than minimal, patternF804Jun 1, 2026

  Based on observations and interviews conducted during a survey, the facility failed to ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for three (3) (Resident #'s 26, 79, and 116) of five (5) residents reviewed. Specifically, (a.) for Resident #'s 26 and 79, food was not served at an appetizing temperature during a lunch meal on 5/28/2026 and the fries were too crispy to eat; and (b.) Resident #116 was served burnt stuffed shells during a dinner meal that were not palatable. Additionally, 10 anonymous residents during a resident council meeting stated the food was not good, often cold, and was overcooked or undercooked. […]