Fulton Nursing and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Fulton Nursing and Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 4, 2026

  Based on observation, interview, and review of facility policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The failure had the potential to affect all residents who consumed meals from the kitchen. The findings include: 1). Review of the facility's policy titled, Food Storage-Dry Goods, dated 10/2019, revealed all items were to be stored six inches above the floor on shelves. Review of the facility's policy titled, Food Storage-Cold, dated 10/2019, revealed the facility was to ensure frozen and refrigerated food items were appropriately stored in accordance with the guidelines of the Food and Drug Administration (FDA) Food Code. […]

• No harm, potential for more than minimal, widespreadF921Jun 4, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure residents were provided a safe, functional, sanitary, and comfortable environment, which had the potential to affect all residents consuming food from the kitchen. The findings include: Review of the facility's policy titled, Master Cleaning Schedule, undated, revealed the cleaning and shift assignments required daily cleaning of floors, backsplash, walls, ice machine, sinks, and coolers. Further review of the policy revealed staff were required to initial when the tasks were completed. On 06/04/2026 at 2:30 PM, the State Survey Agency (SSA) Surveyor requested a facility policy related to cleaning and sanitation guidelines for the dietary department; however, no such policy was provided. […]

• No harm, potential for more than minimal, widespreadF812May 22, 2025

  Based on observation, interview, and review of facility policy, the facility failed to store foods in accordance with professional standards for food service safety. Observation during the initial kitchen tour on [DATE] at 9:05 AM, with the Dietary Manager, revealed multiple items stored in the reach in cooler that were not labeled or dated or the use by date had passed. The findings include: Review of the facility policy, Food Storage: Cold, undated, revealed, it was the facility's policy to ensure all time temperature control for safety, frozen and refrigerated food items to be appropriately stored in accordance with the guidelines of the Food and Drug Administration's (FDA's) Food Code. […]

• No harm, potential for more than minimal, isolatedF584Jun 4, 2026

  Based on observation, interview, and review of facility policy, the facility failed to provide a safe, clean, comfortable, and homelike environment for residents consuming their meals in the dining room, which had the potential to affect those residents. Observation on 06/03/2026 and 06/04/2026, revealed red and brown dried splash marks were observed on the dining room walls.The findings include: Review of the facility policy titled, Safe and Homelike Environment, dated 06/01/2025, revealed it defined sanitary as including, but not limited to, preventing the spread of disease-causing organisms. Further review revealed preventing the spread of disease-causing organisms was noted as: by keeping resident care equipment clean. […]

• No harm, potential for more than minimal, isolatedF645May 22, 2025

  Based on interview, record review, and review of the facility policy, the facility failed to complete a pre-admission screening and resident review (PASARR) for individuals with a mental disorder prior to admission for 1 of 3 residents (Resident (R)14). Additionally the facility failed to refer R14 for a Level II PASARR following inpatient psychiatric treatment on 11/01/2024, 2 days following admission to the facility, and again on 02/28/2025. The findings include: Review of the facility policy, Resident Assessment-Coordination with PASARR Program, revised on 03/14/2023, revealed the facility would coordinate assessments with the PASARR program. […]