Senior CareScorecard

Nursing home · Waverly, MO

Apple Ridge Care Center

100 West Thomas Avenue, Waverly, MO 64096 · 60 certified beds · for profit ownership · part of Circle B Enterprises

Medicare & Medicaid
Medicare overall rating1 / 5Much below averageWarrensburg area 1.9 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
1/5Staffing Much below average
2/5Quality measures Below average
–Short-stay (rehab) quality Not rated
2/5Long-stay quality 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 May 5, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Sep 11, 2024) it had 20 citations, compared with an average of 12.7 for Warrensburg-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.74 hours per resident per day here, 20% less than the Missouri average (3.43) and 29% less than the U.S. average (3.86). Registered nurses account for 0.17 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 63% over the past year, 7 points higher than Missouri (56%) and 17 points higher than the U.S. (46%).

How Apple Ridge Care Center compares

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

This homeWarrensburg areaMissouriU.S.
Total nurse hours per resident per day2.743.183.433.86
Registered nurse hours per resident per day0.170.280.460.68
Weekend nurse hours per resident per day2.592.843.013.42
Nursing staff turnover (past year)63%58%56%46%
Registered nurse turnover (past year)—58%48%43%
Citations at the most recent standard inspection2012.711.49.2

Inspection history

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

May 5, 20262complaint
Dec 30, 20252complaint
Dec 19, 20251complaint
Jul 18, 20251complaint
Sep 11, 202415standard
Apr 15, 20241complaint
Oct 25, 20231complaint
Mar 2, 20239standard
Dec 3, 20206standard

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

Most recent 38 of 38 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
May 5, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DDeficient, Provider has date of correction
May 5, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Dec 30, 2025Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Dec 30, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Dec 19, 2025Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident rights · complaint
EDeficient, Provider has date of correction
Jul 18, 2025Keep residents' personal and medical records private and confidential.
Resident rights · complaint
EPast Non-Compliance
Sep 11, 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 11, 2024Provide routine and 24-hour emergency dental care for each resident.
Quality of life and care
DDeficient, Provider has date of correction
Sep 11, 2024Ensure the activities program is directed by a qualified professional.
Quality of life and care
DDeficient, Provider has date of correction
Sep 11, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 11, 2024Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 11, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 11, 2024Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Sep 11, 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
DDeficient, Provider has date of correction
Sep 11, 2024Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection control
EDeficient, Provider has date of correction
Sep 11, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Sep 11, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service
EDeficient, Provider has date of correction
Sep 11, 2024Provide care or services that was trauma informed and/or culturally competent.
Quality of life and care
EDeficient, Provider has date of correction
Sep 11, 2024Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Sep 11, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Sep 11, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
DDeficient, Provider has date of correction
Apr 15, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Oct 25, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DPast Non-Compliance
Mar 2, 2023PASARR screening for Mental disorders or Intellectual Disabilities
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 2, 2023Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Mar 2, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Mar 2, 2023Honor the resident's right to manage his or her financial affairs.
Resident rights
DDeficient, Provider has date of correction
Mar 2, 2023Honor 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.
Resident rights
DDeficient, Provider has date of correction
Mar 2, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Mar 2, 2023Provide 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
Mar 2, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Mar 2, 2023Assure the security of all personal funds of residents deposited with the facility.
Resident rights
EDeficient, Provider has date of correction
Dec 3, 2020Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Dec 3, 2020Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights
DDeficient, Provider has date of correction
Dec 3, 2020Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Dec 3, 2020Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Dec 3, 2020Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Dec 3, 2020Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident assessment and care planning
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Apple Ridge Care Center

Answers computed from CMS data for this facility.

What is Apple Ridge Care Center's Medicare rating?

Medicare rates Apple Ridge Care Center 1 out of 5 stars overall (much below average). The average for Warrensburg-area nursing homes is 1.9, for Missouri 2.51 and for the U.S. 2.99.

How did Apple Ridge Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on May 5, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Sep 11, 2024) it had 20 citations, compared with an average of 12.7 for Warrensburg-area homes, 11.4 in Missouri and 9.2 nationally.

Has Apple Ridge Care Center been fined?

CMS reports no federal fines for this facility in the past three years.

Does Apple Ridge Care Center accept Medicaid?

Apple Ridge Care Center is certified for both Medicare and Medicaid. Call (660) 493-2232 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.