Appleton City Manor
600 North Ohio, Appleton City, MO 64724 · (660) 476-2128
For profit - Limited Liability company · 60 certified beds
Appleton City Manor has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 4 citations (the Missouri average is 11.4). It was fined 2 times in the last three years, $82,680 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 27, 2025 found 4 citations. What an inspection citation means
- Provide care or services that was trauma informed and/or culturally competent.June 27, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.June 27, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.June 27, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 32 citations.
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.February 27, 2026 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 18, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 20, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 20, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.November 20, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide medically-related social services to help each resident achieve the highest possible quality of life.November 20, 2024 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 13, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to manage his or her financial affairs.October 17, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 17, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have 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.October 17, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.September 9, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Notify 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.September 9, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedSeptember 9, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 9, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide 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.September 9, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.September 9, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have 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.September 9, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure 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.September 9, 2024 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 9, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 9, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 9, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 12, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 12, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement 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.April 12, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 28, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 28, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.February 28, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement 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.February 28, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have 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.November 9, 2023 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure 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.November 9, 2023 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Observe each nurse aide's job performance and give regular training.November 9, 2023 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $17,345February 27, 2026
- Fine of $65,335September 9, 2024
- Medicare payment denial for 83 daysStarting November 16, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 1.37 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.20 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.24 | 0.68 | 0.86 |
| Nurse aides | 0.94 | 2.29 | 2.32 |
| Total nursing staff turnover | Not available | 56% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 60 |
| Average residents per day | 36.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Truman Lake Manor Inc Lowry City · ★★★★★ 1 out of 5 stars
- Baptist Homes of Adrian Adrian · ★★★★★ 4 out of 5 stars
- Medicalodges Butler Butler · ★★★★★ 4 out of 5 stars
- Butler Rehab and Healthcare Center Butler · ★★★★★ 1 out of 5 stars
- Adair Village Clinton · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Appleton City Manor on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.