| Appleton City Manor | |
| 600 North Ohio, Appleton City, Missouri 64724 | |
| (660) 476-2128 | |
| Name | Appleton City Manor |
|---|---|
| Location | 600 North Ohio, Appleton City, Missouri |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 60 |
| Occupancy Rate | 61.17% |
| Medicare ID (CCN) | 265843 |
| Legal Business Name | Appleton City Manor LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1235127580 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Appleton City Manor LLC |
| Doing Business As | Appleton City Manor |
| Address | 600 N Ohio St, Appleton City, MO 64724 |
| Phone Number | 660-476-2128 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: CMS could not validate the staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: CMS could not validate the staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $92,020 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 27, 2026 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Feb 28, 2026 |
| Nov 18, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 9, 2025 |
| Jun 27, 2025 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 10, 2025 |
| Jun 27, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 10, 2025 |
| Jun 27, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 10, 2025 |
| Jun 27, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 10, 2025 |
| Nov 20, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Nov 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Nov 20, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Nov 20, 2024 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Nov 13, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, widespread | Corrected by Feb 7, 2025 |
| Nov 13, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Oct 17, 2024 | 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. F0727, Nursing and Physician Services, Complaint inspection | Potential for harm, widespread | Corrected by Dec 9, 2024 |
| Oct 17, 2024 | Honor the resident's right to manage his or her financial affairs. F0567, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Dec 9, 2024 |
| Oct 17, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 9, 2024 |
| Sep 9, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Oct 23, 2024 |
| Sep 9, 2024 | 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. F0727, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Dec 10, 2024 |
| Sep 9, 2024 | 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. F0728, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Dec 10, 2024 |
| Sep 9, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 10, 2024 |
| Sep 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 7, 2025 |
| Sep 9, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Dec 10, 2024 |
| Sep 9, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Dec 10, 2024 |
| Sep 9, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Dec 10, 2024 |
| Sep 9, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Feb 7, 2025 |
| Sep 9, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Oct 23, 2024 |
| Sep 9, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Oct 23, 2024 |
| Sep 9, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 23, 2024 |
| Sep 9, 2024 | 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. F0625, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 7, 2025 |
| Sep 9, 2024 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 7, 2025 |
| Sep 9, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Dec 10, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 38.98 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.39 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.77 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.45 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.26 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.26 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 56.38 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 26.21 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.67 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 32.02 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.33 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 60 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.17 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.16 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 29.41 | 15.38 |