Appleton City Manor in Appleton City, MO has a 1-star overall rating, with 1-star health inspection and quality ratings and a 3-star staffing rating. It reported 5.33 nurse hours per resident per day versus the 4.1 federal benchmark, $65,335 in fines over the last 24 months, and a recent federal penalty; recent inspection citations included CPR/basic life support, following care orders and preferences, and infection prevention and control.
Last inspection: February 27, 2026Penalties, last 24 months: $65,335recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3274.
Staffing detail
Registered nurses
0.70
Licensed practical nurses
1.06
Nurse aides
3.57
Weekend nursing
4.74
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—30%—
Residents with a fall causing major injury
8.3%4%Improving
Residents with pressure ulcers (bedsores)
8.5%2.8%Improving
Residents with a urinary tract infection
4.2%4%No change
Residents who lost too much weight
—3.4%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—37.9%—
Residents whose ability to walk got worse
—28.7%—
Long-stay residents on antianxiety or sleep medication
—20.3%—
Short-stay residents newly given an antipsychotic
—9.1%—
Residents with a long-term catheter
7.3%5.8%Improving
Residents with new or worsening incontinence
17.1%31.2%Worsening
Residents with depressive symptoms
4.2%5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—60%—
Long-stay residents given the pneumonia vaccine
95.8%32%Worsening
Short-stay residents given the pneumonia vaccine
36%16.7%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited February 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $65,335 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $65,335 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 9, 2024
83 days
Federal fine
Sep 9, 2024
$65,335
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
29.8 residents on an average day (50% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 13 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.