Senior CareScorecard

Nursing home · Appleton City, MO

Appleton City Manor

600 North Ohio, Appleton City, MO 64724 · 60 certified beds · for profit ownership

Medicare & MedicaidFined $82,680 in 3 years
Medicare overall rating1 / 5Much below averageNevada area 2.4 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Feb 27, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jun 27, 2025) it had 6 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 1.37 hours per resident per day here, 60% less than the Missouri average (3.43) and 64% less than the U.S. average (3.86). Registered nurses account for 0.20 of those hours, versus 0.46 in Missouri and 0.68 nationally.

How Appleton City Manor compares

This home's latest CMS figures next to the averages for Nevada-area homes (16), Missouri (487) and the U.S. (14,680).

This homeNevada areaMissouriU.S.
Total nurse hours per resident per day1.373.353.433.86
Registered nurse hours per resident per day0.200.460.460.68
Weekend nurse hours per resident per day1.182.933.013.42
Nursing staff turnover (past year)—52%56%46%
Registered nurse turnover (past year)—44%48%43%
Citations at the most recent standard inspection611.011.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Feb 27, 20261complaint · 1 harm-level citation
Nov 18, 20251complaint
Jun 27, 20254standard
Nov 20, 20244complaint
Nov 13, 20242complaint
Oct 17, 20243complaint
Sep 9, 202428standard + complaint · 1 harm-level citation
Apr 12, 20243complaint
Feb 28, 20244complaint
Nov 9, 20233complaint
Aug 22, 202210standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 63 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Feb 27, 2026Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care · complaint
J immediate jeopardyDeficient, Provider has date of correction
Nov 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Jun 27, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of life and care
DDeficient, Provider has date of correction
Jun 27, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy service
DDeficient, Provider has date of correction
Jun 27, 2025Ensure that residents are free from significant medication errors.
Pharmacy service
DDeficient, Provider has date of correction
Jun 27, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Nov 20, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Nov 20, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 20, 2024Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 20, 2024Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 13, 2024Provide and implement an infection prevention and control program.
Infection control · complaint
FDeficient, Provider has date of correction
Nov 13, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Oct 17, 2024Honor the resident's right to manage his or her financial affairs.
Resident rights · complaint
EDeficient, Provider has date of correction
Oct 17, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Oct 17, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
Sep 9, 2024Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care
EDeficient, Provider has date of correction
Sep 9, 2024Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Sep 9, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Sep 9, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy service
DDeficient, Provider has date of correction
Sep 9, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Sep 9, 2024Provide enough food/fluids to maintain a resident's health.
Quality of life and care
DDeficient, Provider has date of correction
Sep 9, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 9, 2024Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 9, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
DDeficient, Provider has date of correction
Sep 9, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Sep 9, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 9, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 9, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service · complaint
EDeficient, Provider has date of correction
Sep 9, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
EDeficient, Provider has date of correction
Sep 9, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Resident assessment and care planning
EDeficient, Provider has date of correction
Sep 9, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
FDeficient, Provider has date of correction
Sep 9, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident rights · complaint
EDeficient, Provider has date of correction
Sep 9, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Sep 9, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
Sep 9, 2024Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
Sep 9, 2024Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 9, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 9, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
FDeficient, Provider has date of correction
Sep 9, 2024Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration
FDeficient, Provider has date of correction
Sep 9, 2024Provide and implement an infection prevention and control program.
Infection control · complaint
FDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Feb 27, 2026Fine$17,345
Sep 9, 2024Fine$65,335
Sep 9, 2024Payment Denial83 days

Location

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Questions about Appleton City Manor

Answers computed from CMS data for this facility.

What is Appleton City Manor's Medicare rating?

Medicare rates Appleton City Manor 1 out of 5 stars overall (much below average). The average for Nevada-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.

How did Appleton City Manor do on its last inspection?

Inspectors' most recent visit in the CMS data was on Feb 27, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jun 27, 2025) it had 6 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.

Has Appleton City Manor been fined?

Yes. CMS reports 2 fines totaling $82,680 in the past three years.

Does Appleton City Manor accept Medicaid?

Appleton City Manor is certified for both Medicare and Medicaid. Call (660) 476-2128 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.