Fulton Presbyterian Manor
811 Center Street, Fulton, MO 65251


Fulton Presbyterian Manor is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 265581. The address is 811 Center Street, Fulton, MO 65251. The zip code is 65251. The phone number is 5736426646.


Fulton Presbyterian Manor · 811 Center Street, Fulton, MO 65251

Federal Provider Number 265581
Provider Name FULTON PRESBYTERIAN MANOR
Address 811 CENTER STREET
FULTON, MO 65251
Phone Number 5736426646
SSA County Code 130
County Name Callaway
Ownership Type Non profit - Corporation
Certified Beds 36
Certified Beds Residents 24
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare Medicaid Services 07/01/1994
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 3.72292
Reported LPN Staffing Hours per Resident per Day 2.02292
Reported RN Staffing Hours per Resident per Day 0.99167
Reported Licensed Staffing Hours per Resident per Day 3.01458
Reported Total Nurse Staffing Hours per Resident per Day 6.73751
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08125
Expected CNA Staffing Hours per Resident per Day 2.35997
Expected LPN Staffing Hours per Resident per Day 0.64871
Expected RN Staffing Hours per Resident per Day 1.05848
Expected Total Nurse Staffing Hours per Resident per Day 4.06717
Adjusted CNA Staffing Hours per Resident per Day 3.87078
Adjusted LPN Staffing Hours per Resident per Day 2.58823
Adjusted RN Staffing Hours per Resident per Day 0.70004
Adjusted Total Nurse Staffing Hours per Resident per Day 6.67743
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 09/28/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 08/13/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Standard Health Survey Date 07/02/2014
Total Weighted Health Survey Score 10.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Fulton Presbyterian Manor

Owner Name Role Association Date
BRENNECKE, GARY (Individual) DIRECTOR since 07/01/2015
COOK, JAMES (Individual) DIRECTOR since 07/01/2012
DELASHAW, JERRY (Individual) OFFICER since 09/01/2000
GAGE, RALPH (Individual) DIRECTOR since 07/01/2015
HARRIS, DANIEL (Individual) DIRECTOR since 07/01/2006
HIND, SHERRY (Individual) OFFICER since 07/01/1989
MCKELL, ELIZABETH (Individual) DIRECTOR since 07/01/2012
MILLER, JOAN (Individual) OFFICER since 09/01/1997
MORRISON, AARON (Individual) DIRECTOR since 07/01/2015
NELSON, ELEANOR (Individual) DIRECTOR since 07/01/2010
OTT, RAY (Individual) DIRECTOR since 09/01/2010
PRESBYTERIAN MANORS INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 03/30/1989
PRESBYTERIAN MANORS OF MID-AMERICA INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/30/1989
RADEBAUGH, TERESA (Individual) DIRECTOR since 07/01/2013
RIDGWAY, RONALD (Individual) DIRECTOR since 02/27/2007
SHOGREN, BRUCE (Individual) OFFICER since 08/05/1996
SMITH, DAWN (Individual) DIRECTOR since 09/28/2011
SMITH, DAWN (Individual) MANAGING EMPLOYEE since 09/28/2011
TAYLOR, WILLIAM (Individual) OFFICER since 07/01/2015
WEDEL, RANDY (Individual) DIRECTOR since 09/01/2010
WELLS, JOHN (Individual) DIRECTOR since 11/15/2011

65251 · Nursing Home

Fulton Nursing & Rehab 1510 Bluff Street, Fulton, MO 65251
Fulton Manor Care Center 520 Manor Drive, Fulton, MO 65251

Fulton · Nursing Home

Michaud Residential Health Services Inc 453 Park Street, Fulton, NY 13069
Fulton Nursing & Rehab 1510 Bluff Street, Fulton, MO 65251
Daniel Health Care Inc 1905 South Adams Street, Fulton, MS 38843
Harbor Crest Home 817 17th Street, Fulton, IL 61252
Courtyards Comm Living Center 907 East Walker Street/po Box 69, Fulton, MS 38843
Fulton Manor Care Center 520 Manor Drive, Fulton, MO 65251
Diversicare of Fulton 1004 Holiday Lane, Fulton, KY 42041

MO · Nursing Home

Rest Haven Convalescent and Retirement Home 1800 South Ingram, Sedalia, MO 65301
Barnes-jewish Extended Care 401 Corporate Park Drive, Saint Louis, MO 63105
Maries Manor 174 Ballpark Road, Vienna, MO 65582
Redwood of Independence 1800 S Swope Drive, Independence, MO 64057
Cotton Point Living Center 609 South Railroad Street, Matthews, MO 63867
Jefferson City Manor Care Center 1720 Vieth Dr, Jefferson City, MO 65109
Alexian Bros Lansdowne Village 4624 Lansdowne Avenue, Saint Louis, MO 63116
Heartland Care and Rehabilitation Center 2525 Boutin Drive, Cape Girardeau, MO 63701
Moniteau Care Center 200 South Gerhart, California, MO 65018
Royal Oak Nursing and Rehab, LLC 4960 Laclede Avenue, Saint Louis, MO 63108
St Joseph Chateau 811 North 9th Street, Saint Joseph, MO 64501
Chaffee Nursing Center 12273 State Highway 77, Po Box 68, Chaffee, MO 63740
Frene Valley of Hermann-a Stonebridge Community 1800 Wein Street, Po Box 468, Hermann, MO 65041
Bethesda Dilworth 9645 Big Bend Blvd, Saint Louis, MO 63122
Green Park Senior Living Community 9350 Green Park Road, Saint Louis, MO 63123
Carroll House 307 Grand, Carrollton, MO 64633
Shady Oaks Healthcare Center 715 S State Route 19, Thayer, MO 65791
Pemiscot County Memorial Hospital Po Box 489, Highway 61 and Reed Street, Hayti, MO 63851
Life Care Center of Brookfield 315 Hunt Street, Brookfield, MO 64628
Brent B Tinnin Manor 220 Euel Polk Drive, Ellington, MO 63638
Lake Regional Health Systems 54 Hospital Drive, Osage Beach, MO 65065
St Marys Manor 111 Mock Avenue, Blue Springs, MO 64014
Citizens Memorial Healthcare Facility 1218 West Locust, Po Box 590, Bolivar, MO 65613
Webb City Health and Rehabilitation Center 2077 Stadium Drive, Webb City, MO 64870
Sarcoxie Nursing Center 1505 Miner, Po Box 248, Sarcoxie, MO 64862
Jeanne Jugan Center 8745 James A Reed Rd, Kansas City, MO 64138
Columbia Healthcare Center 1801 Towne Drive, Columbia, MO 65202
Riverdell Care Center 1121 11th Street, Boonville, MO 65233
Willow Care Nursing Home 2646 State Route 76, Po Box 309, Willow Springs, MO 65793
Village North Retirement and Health Center 11160 Village North Drive, Saint Louis, MO 63136
Pioneer Skilled Nursing Center 1500 South Kansas Avenue, Marceline, MO 64658
Valley-a Stonebridge Community, The 6768 North Highway 67, Florissant, MO 63034
Abc Health Care 307 East South Street, Harrisonville, MO 64701
Nixa Nursing & Rehab 1104 North Main Street, Nixa, MO 65714
Life Care Center of Sullivan 875 Dunsford Drive, Sullivan, MO 63080
Gower Convalescent Center, Inc Po Box 170, 323 South Highway 169, Gower, MO 64454
St Clair Nursing Center 1035 Plaza Court North, Saint Clair, MO 63077
Heart of The Ozarks Healthcare Center 2004 Crestview Street, Po Box 727, Ava, MO 65608
Twin Pines Adult Care Center 316 South Osteopathy Street, Kirksville, MO 63501
Country Meadows 1301 N St Joe Drive, Park Hills, MO 63601