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Nursing home report

APPLETON CITY MANOR

APPLETON CITY, MO · Medicare-certified · 60 beds

Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall

Appleton City Manor has a 1-star overall rating, with 1-star ratings for health inspections, staffing, and quality measures. It also has a recent federal penalty, $82,680 in fines over the last 24 months, and reported nurse staffing of 1.37 hours per resident per day, well below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

1.3749 hrs/resident/day

Quality measures

Last inspection: February 27, 2026Penalties, last 24 months: $82,680recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.3749.

Staffing detail

Registered nurses
0.20
Licensed practical nurses
0.24
Nurse aides
0.94
Weekend nursing
1.18

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).

Long-stay residents on antipsychotic medication

—29.4%—

Residents with a fall causing major injury

9.1%0%Improving

Residents with pressure ulcers (bedsores)

8.2%6.5%Improving

Residents with a urinary tract infection

14.3%4%Improving

Residents who lost too much weight

—3.4%—

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

—39%—

Residents whose ability to walk got worse

—32%—

Long-stay residents on antianxiety or sleep medication

—23.3%—

Short-stay residents newly given an antipsychotic

—6.7%—

Residents with a long-term catheter

5.5%8.9%Worsening

Residents with new or worsening incontinence

31.2%32.7%Worsening

Residents with depressive symptoms

5%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—60%—

Long-stay residents given the pneumonia vaccine

68.2%64%Worsening

Short-stay residents given the pneumonia vaccine

36%8.8%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 nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 728 — 42 CFR §483.35(e) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $17,345 was recorded.

  3. PENALTY

    A federal fine of $26,685 was recorded.

  4. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal payment denial was recorded.

  9. PENALTY

    A federal fine of $65,335 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $82,680 in total fines · 1 payment denial.

  • Federal fine

    Feb 27, 2026

    $17,345
  • 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
36.7 residents on an average day (61% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 14 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.