Fulton Nursing and Rehabilitation, LLC
1004 Holiday Lane, Fulton, KY 42041 · Fulton County · (270) 472-1971
60 certified beds, about 55 residents a day · For profit - Partnership · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185047 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 4, 2026, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 7 health citations since February 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.82 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
45.9% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
June 4, 2026Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased 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.
- D 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.
Inspectors wroteBased 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.
May 22, 2025Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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 05/20/2025 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.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased 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.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, record review and review of the facility policy, the facility failed to review and revise the comprehensive care plan (CCP) following readmission to the facility from a behavioral health unit (BHU) for 1 of 24 sampled residents, (Resident (R)14).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 24 sampled residents (Resident (R)3).
February 20, 2020Standard inspection · 0 citations
Fire safety inspections
19 fire safety citations on file: 10 on June 4, 2026, 3 on May 22, 2025, 6 on February 20, 2020.
Every fire safety citation19 citations
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have restrictions on the use of portable space heaters.
- D Have proper medical gas storage and administration areas.
- E 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.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Ensure proper usage of power strips and extension cords.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly located and lighted "Exit" signs.
- D Meet requirements for the use and maintenance of medical gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.82 | 3.95 | 3.86 |
| Registered nurses | 0.38 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.43 | 3.49 | 3.42 |
| Nurse aides | 1.76 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 45.9% | 46.4% | 45.8% |
| Registered nurse turnover | 60.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.95 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.97 on weekdays and 2.43 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.52 in April to June 2025 to 2.82 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.82 | 0.38 | 2.97 | 2.43 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 2.84 | 0.34 | 2.92 | 2.64 | 0.0% | 0 of 92 | 54 |
| Jul to Sep 2025 | 2.66 | 0.26 | 2.73 | 2.50 | 0.0% | 0 of 92 | 54 |
| Apr to Jun 2025 | 2.52 | 0.34 | 2.59 | 2.32 | 0.0% | 0 of 91 | 55 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Kentucky
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.9 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.9 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.6 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.6 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.7 | 13.7 | 12.0 |
Owners and operators
Legal business name: FULTON NURSING AND REHABILITATION LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hyman, Simcha | Direct ownership interest | Individual | 12/01/2018 | |
| Zanziper, Naftali | Direct ownership interest | Individual | 12/01/2018 | |
| Zetter, David | Managing control - governing body | Individual | 12/01/2018 | |
| Vujanovic, Mick | Corporate officer | Individual | 01/01/2020 | |
| Clearview Healthcare Management Ky LLC | Operational/managerial control | Organization | 01/01/2020 | |
| Potter, Jenna | Operational/managerial control | Individual | 01/14/2026 | |
| Vujanovic, Mick | Operational/managerial control | Individual | 01/01/2020 | |
| Clearview Healthcare Management Ky LLC | Adp of the SNF | Organization | 02/11/2026 | |
| Hyman, Simcha | Adp of the SNF | Individual | 12/01/2018 | |
| Potter, Jenna | Adp of the SNF | Individual | 01/14/2026 | |
| Vujanovic, Mick | Adp of the SNF | Individual | 01/01/2020 | |
| Zanziper, Naftali | Adp of the SNF | Individual | 12/01/2018 | |
| Zetter, David | Adp of the SNF | Individual | 12/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 4, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 22, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on June 4, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 4, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.43 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- The Waters of Union City , LLC Union City, 10.7 mi · 5 of 5 stars · 9 citations
- Union City Health and Rehabilitation Union City, 10.9 mi · 1 of 5 stars · 10 citations
- Clinton-Hickman County Nursing Facility Clinton, 11.4 mi · 4 of 5 stars · 4 citations
- Clinton Place Clinton, 11.9 mi · 2 of 5 stars · 14 citations
- Vanayer Senior Living and Rehabilitation Martin, 12.5 mi · 3 of 5 stars · 9 citations
- Diversicare of Martin Martin, 12.8 mi · 5 of 5 stars · 8 citations
- Obion County Nursing Home Union City, 14.9 mi · 2 of 5 stars · 22 citations
- Weakley Rehabilitation and Nursing Center Dresden, 18.9 mi · 1 of 5 stars · 27 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Fulton Nursing and Rehabilitation, LLC's Medicare star rating?
- CMS rates Fulton Nursing and Rehabilitation, LLC 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fulton Nursing and Rehabilitation, LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on June 4, 2026. The Kentucky average is 2.9.
- Has Fulton Nursing and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Fulton Nursing and Rehabilitation, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fulton Nursing and Rehabilitation, LLC?
- CMS lists 13 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: FULTON NURSING AND REHABILITATION LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.