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Appleton City Manor, Appleton City, MO: 1 star rating, fined $82,680 across 2 fines and had 1 payment denial

Appleton City Manor in Appleton City, MO is owned by 3 individuals whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $82,680 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 53 health citations from inspections in that time, the latest survey on February 27, 2026, and 2 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet nursing homes in Missouri
Address
600 North Ohio, Appleton City, MO 64724
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
1 of 5
Certified beds
60
Residents per day
41 on average
Ownership type
For profit, limited liability company
Legal business name
Appleton City Manor LLC
Fines
$82,680 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
53, of which 2 with actual harm or immediate jeopardy
Latest survey
February 27, 2026
CMS Certification Number
265843
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 27, 2026Fine$17,345Not listeddata.cms.gov
September 9, 2024Fine$65,335Not listeddata.cms.gov
September 9, 2024Payment denialNot listedNovember 16, 202483data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 27, 2026F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyCorrectedFebruary 28, 2026data.cms.gov
November 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2025data.cms.gov
June 27, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2025data.cms.gov
June 27, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2025data.cms.gov
June 27, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2025data.cms.gov
June 27, 2025F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2025data.cms.gov
November 20, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
November 20, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
November 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
November 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
November 13, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
November 13, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
October 17, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2024data.cms.gov
October 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2024data.cms.gov
October 17, 2024F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2024data.cms.gov
September 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F881Implement a program that monitors antibiotic use.F: widespread, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F728Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
September 9, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
September 9, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
September 9, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F625Notify 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
September 9, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 23, 2024data.cms.gov
April 12, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
February 28, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
February 28, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
February 28, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2024data.cms.gov
February 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
November 9, 2023F730Observe each nurse aide's job performance and give regular training.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 9, 2023F728Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 9, 2023F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (3 owners, 1 managers, 1 officers, directors or trustees). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.