Nursing homes across Callaway County, Missouri, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.
Fulton Nursing & Rehab runs on 2.76 nurse hours per resident day, roughly 28% under the national figure of 3.86, and weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 63.6% against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its inspection record, last reviewed in June 2025, carries 50 deficiencies, including one at the harm level and two tied to abuse, plus an $8,018 fine. All three CMS star ratings land at 2 out of 5. For a 100-bed for-profit home, those numbers describe thin, unstable staffing layered over a troubled survey history.
Riverview Nursing Center in Mokane runs 60 beds under individual for-profit ownership, and the numbers pull in different directions. Inspectors have found the place in good shape, a clean five-star health inspection record as recently as May 2025, with 13 deficiencies on file and none rising to actual harm. The daily experience is a different question. Nurse staffing sits at 3.25 hours per resident, about 16 percent under the national average, and drops roughly another quarter on weekends. Staff turnover runs 64.3 percent against a national 45.8, meaning most of the people caring for your family member will be gone within a year. Quality measures come in at one star.
Fulton Manor runs on thin staffing: 2.60 nurse hours per resident per day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 85.9%, nearly double the national rate, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 49 deficiencies, six tied to abuse, with the most recent survey in January 2025. The corporate owner operates for profit. Taken together, the numbers describe a home where care depends heavily on a workforce that keeps changing.