Missouri › Lafayette County › Waverly
Apple Ridge Care Center
100 West Thomas Avenue, Waverly, MO 64096
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 60 beds, Apple Ridge Care Center serves Waverly in Lafayette County, Missouri and has taken Medicare and Medicaid residents since 1990.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (20, 10, 9 by cycle, most recent first), none at the actual-harm level. That is 65.0 per 100 beds, more than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.7 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 62.9%.
Compared with county, state and nation
| Measure | This facility | Lafayette Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 39 | 39 | 31 | 28.7 |
| Citations per 100 beds | 65.0 | 65.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 62.9% | 54.5% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2024, 2 Mar 2023.
Severity mix: D ×24 E ×13 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 10 Jun 2026 |
| 5 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jun 2026 |
| 30 Dec 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Complaint investigation | 3 Feb 2026 |
| 30 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 3 Feb 2026 |
| 19 Dec 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 3 Feb 2026 |
| 18 Jul 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 30 May 2025 |
| 11 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0625 | 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. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 18 Oct 2024 |
| 11 Sep 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 18 Oct 2024 |
| 15 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 Apr 2024 |
| 25 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Oct 2023 |
| 7 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 Aug 2023 |
| 2 Mar 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Apr 2023 |
| 2 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Apr 2023 |
| 3 Dec 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Jan 2021 |
| 3 Dec 2020 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 8 Jan 2021 |
| 3 Dec 2020 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 8 Jan 2021 |
| 3 Dec 2020 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 8 Jan 2021 |
| 3 Dec 2020 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Jan 2021 |
| 3 Dec 2020 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 8 Jan 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 62.9%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 10.9% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Waverly 1 Inc. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% or greater direct ownership interest | 100% | 03/13/1996 |
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 11/01/2010 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lafayette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lutheran Nursing Home | Concordia | 113 | 4 | 4 | 2 | 27 | 23.9 | $42K | 9 Apr 2026 |
| Riverbend Heights Health & Rehabilitation | Lexington | 154 | 2 | 2 | 4 | 37 | 24.0 | — | 12 Jan 2026 |
| Meyer Care Center | Higginsville | 56 | 1 | 1 | 2 | 46 | 82.1 | — | 17 Feb 2026 |
| Odessa Health Care Center | Odessa | 60 | 1 | 1 | 1 | 74 | 123.3 | — | 18 Feb 2026 |
All 5 facilities in Lafayette County
Questions and answers
How many deficiencies has Apple Ridge Care Center been cited for?
39 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Apple Ridge Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Apple Ridge Care Center compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Apple Ridge Care Center?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Circle B Enterprises Holding Company Inc, Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Apple Ridge Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 11 Sep 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.