01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-16 | 9 | 2026-04-16 | 4 |
| Cycle 2 | 2023-08-31 | 5 | 2023-08-31 | 2 |
| Cycle 3 | 2020-03-05 | 5 | 2020-03-05 | 4 |
CMS CCN 3660972026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Fulton Manor Nursing & Rehab C
723 South Shoop Avenue · Wauseon, OH 43567 · Fulton County
Certified beds71CMS provider file
Recent citation rows29current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
29 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-16 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · FIREK0346Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · FIREK0354Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2026-05-282026-04-16 · FIREK0928Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
Correction field: Deficient, Provider has date of correction · 2026-05-282025-12-10 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-12-10 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-01-09 · complaint2025-12-10 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-01-09 · complaint2025-12-10 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-01-09 · complaint2023-10-23 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2023-11-30 · complaint2023-10-23 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2023-09-29 · complaint2023-08-31 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-31 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-31 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-31 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-31 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-09-30 · complaint2023-08-31 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-31 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-09-302020-03-05 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2020-04-032020-03-05 · HEALTHF0812Severity C · widespread; potential for minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has plan of correction · 2020-04-0303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EISEL, KATIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/23/2026
- GRIESER, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/22/2010
- HAGANS, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/23/2007
- HAGERMAN, KIMBERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/27/2013
- KAZMIERCZAK, RICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2013
- KOLB, BRETTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/22/2010
- MALONEY, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/22/2024
- MEALER, BROCKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/25/2021
- MILLER, KAYLAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2023
- ONWELLER, FRANKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/27/2023
- RUPP, JONATHONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/26/2012
- SAVAGE, MICHELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/24/2024
- FINN, PATRICIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2012
- KOLB, BRETTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/26/2024
- MEALER, BROCKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/26/2024
- STOVER, SARAHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2019
- TAYLOR, REBECCAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/16/2020
- WILLEMAN, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/28/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.10per resident day
RN hours1.23per resident day
Weekend nurse hours3.54per resident day
Staff turnover47.1%CMS reported field
06 / LOCAL RECORDS
Open the Wauseon ledger →