Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fulton Manor Nursing & Rehab C during CMS and state inspections, most recent first.
A resident with Parkinson's disease and dementia received an incorrect, higher dosage of ropinrole due to a medication order entry error. The resident developed symptoms such as hypertension, headache, hallucinations, increased anxiety, and dizziness while receiving the wrong dosage. Despite these changes, the physician and family were not notified of the medication error or the resident's condition until the day after the error was discovered, contrary to facility policy requiring immediate notification.
A resident with moderate cognitive impairment and behavioral issues made multiple allegations of physical abuse by staff, which were witnessed and reported internally by nursing staff. Despite facility policy requiring immediate reporting of such allegations to the state survey agency, the administrator did not submit a report, citing the resident's history of making similar accusations. This resulted in a failure to comply with mandated abuse reporting procedures.
A resident with dementia and behavioral issues repeatedly accused staff of physical abuse, with several staff members witnessing or hearing concerning events and reporting them to supervisors. Despite these reports and the facility's policy requiring investigation, no formal inquiry was conducted, key witnesses were not interviewed, and the alleged perpetrator was not placed on leave.
A resident with Parkinson's disease and dementia was administered an incorrect, significantly higher dose of ropinrole after an LPN entered the order incorrectly into the EMR. The error went unnoticed by pharmacy and management, resulting in the resident experiencing hypertension, headache, hallucinations, increased anxiety, and dizziness.
Failure to Timely Notify Physician and Family of Medication Error and Change in Condition
Penalty
Summary
The facility failed to promptly notify the physician and resident representative of a significant change in condition for a resident diagnosed with Parkinson's disease and dementia. The resident was admitted with intact cognition and had a physician order for ropinrole 0.5 mg three times daily. However, the medication order was incorrectly entered into the Medication Administration Record (MAR) as 5 mg four times daily, resulting in the resident receiving a much higher dosage than prescribed over several administrations. During the period the incorrect dosage was administered, the resident experienced symptoms including hypertension, headache, hallucinations, increased anxiety, and dizziness. Despite these symptoms and the discovery of the medication error, there was no evidence that the physician or the resident's family were notified of the error or the resident's change in condition until the following day. The facility's policy required immediate notification of the attending physician and resident advocate in the event of a significant change in medical condition, which was not followed in this instance.
Failure to Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident with moderate cognitive impairment and a history of behavioral disturbances. The resident, who had diagnoses including dementia with agitation, major depressive disorder, and Alzheimer's disease, exhibited behaviors such as yelling, making accusations against staff, and threatening self-harm. On multiple occasions, the resident accused staff of physical abuse, including being hit and kicked by a nurse, and these allegations were witnessed and reported by certified nursing assistants and a registered nurse. Witness statements indicated that staff heard noises consistent with a possible physical altercation and observed the resident in distress immediately after interactions with the accused staff member. Despite these allegations and witness observations, the facility did not submit a Self-Reported Incident (SRI) to the state survey agency as required by their policy. The policy mandates immediate reporting of abuse allegations involving employees, but a review of the Certification and Licensure System showed no evidence of such a report being filed for this incident. Interviews with staff and administration confirmed that the incident was communicated internally, but the administrator decided not to report the allegation to the state due to the resident's history of making similar accusations. The facility's failure to report the abuse allegation was in direct violation of its own policy, which requires prompt notification of the state agency for any employee-related abuse allegations. The administrator acknowledged receiving the report from nursing staff but did not follow through with the mandated external reporting process. This omission was identified during a review of medical records, staff interviews, and facility documentation.
Failure to Investigate Allegations of Abuse
Penalty
Summary
The facility failed to investigate allegations of abuse involving a resident with moderate cognitive impairment, dementia, and behavioral issues. The resident, who was dependent on staff for several activities of daily living, made multiple accusations against staff, including being hit, kicked, and punched. On specific occasions, staff members heard noises and observed the resident yelling out in pain, with one CNA reporting hearing a 'smack' and the resident immediately accusing a nurse of hitting her. Multiple staff members documented the resident's repeated claims of being struck by a staff member, and these incidents were reported to supervisory staff. Despite these allegations, the facility did not initiate a formal investigation as required by its own policy. Witness statements were collected by some staff and left for the Administrator, but key steps were omitted: the alleged perpetrator was not placed on leave, no skin assessment was performed on the resident, and other potential witnesses were not interviewed. Staff who reported the incident or wrote statements were not interviewed about the event, and the Administrator confirmed that no investigation was conducted due to the resident's history of making false allegations. The facility's policy required that all allegations of abuse be investigated, including securing the resident, assessing for injury, identifying the alleged perpetrator, notifying appropriate parties, and obtaining interviews or statements from all involved. These procedures were not followed in this case, resulting in a failure to respond appropriately to the alleged violations as required.
Significant Medication Error Due to Incorrect Order Entry
Penalty
Summary
A deficiency occurred when a resident with Parkinson's disease and dementia was prescribed ropinrole HCl 0.5 mg three times daily, but the order was incorrectly entered into the electronic medical record as 5 mg four times daily. As a result, the resident received significantly higher doses of the medication over multiple administrations. The error was not detected by the pharmacy or management, and the medication was administered as entered in the system. Following the administration of the incorrect dosage, the resident experienced adverse symptoms including hypertension, headache, hallucinations, increased anxiety, and dizziness. The error was confirmed through interviews with the Director of Nursing and the LPN responsible for entering the order, both of whom acknowledged the mistake and the lack of system alerts or oversight that could have prevented the error.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wauseon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ayden Healthcare Of Wauseon | 0.7 mi | — | 0 | 0 |
| Fairlawn Haven | 8.7 mi | — | 0 | 0 |
| Northcrest Rehab And Nursing Center | 9.6 mi | — | 1 | 0 |
| Lutheran Home | 11.2 mi | — | 0 | 0 |
| Embassy Of Swanton | 12.3 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.