Nursing home
Appleton City Manor
600 North Ohio, Appleton City, MO 64724 · Map
For profit - Limited Liability company · 60 certified beds
Appleton City Manor is a Medicare-certified nursing home in Appleton City, Missouri. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 5.16 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Jun 27, 2025 cited 5 deficiencies.
- 1 fine totaling $65,335In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Appleton City Manor compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.16 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.56 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | —% | 57.0% | 46.4% | — |
| Deficiencies cited, last inspection | 5.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 27, 2026 inspection was corrected by February 28, 2026
Penalties in CMS records: 1 fine totaling $65,335, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Appleton City Manor
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jun 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Nov 20, 2024 · Full report (PDF) - Potential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Nov 20, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 20, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 20, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 13, 2024 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Nov 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 600 North Ohio
Appleton City, MO 64724 - CMS certification #
- 265843
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 28.3
- Provider type
- Medicare and Medicaid
- First certified
- 2012-10-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Appleton City Manor using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, 3 meals a day
- Staff pay 1 federal wage case with violations found, since 2010
Full public records, with dates and sources
Care and services
From the community’s website
What Appleton City Manor says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We offer 24 hour nursing care, housekeeping and laundry service, three home cooked meals a day and a variety of activities.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We also offer wound care services, hospice care, customized
(page, checked Oct 12, 2026) - 3 meals a day.
We offer 24 hour nursing care, housekeeping and laundry service, three home cooked meals a day and a variety of activities.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 23, 2010 to May 19, 2012. Violations found: Minimum wage, Overtime, Child labor. Back wages: $4,215 owed to 37 employees. Civil money penalties assessed: $3,100. Employer as DOL recorded it: Appleton City Manor (Appleton City Manor, LLC). Case 1646426.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Ellett Memorial Hospital, Appleton City. 2.8 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Truman Lake Manor INC, Lowry City. 16.6 miles away, straight line.
- Nearest home health agency office
- Novus Lifecare, Clinton. 18.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Summer's Pharmacy. 18.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 64724 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 64724.
Novus Lifecare, office in Clinton, 18.1 miles away, straight line - Nearest geriatric medicine practice
- Curana Health Of Missouri-Kansas LLC, Cole Camp. 47.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective February 1, 1984), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Appleton City Manor a good nursing home?
CMS gives Appleton City Manor an overall rating of 1 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Appleton City Manor staffed?
Appleton City Manor reports 5.16 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Appleton City Manor had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Appleton City Manor have?
Appleton City Manor is certified for 60 beds.