Missouri › St. Clair County › Appleton City
Appleton City Manor
600 North Ohio, Appleton City, MO 64724
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, Appleton City Manor serves Appleton City in St. Clair County, Missouri and has taken Medicare and Medicaid residents since 2012.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 1.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (6, 37, 20 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 105.0 per 100 beds, more than the state median of 32.1.
CMS lists 3 penalties in the period covered: fines totalling $92K and 1 payment denial.
Compared with county, state and nation
| Measure | This facility | St. Clair Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 63 | 63 | 31 | 28.7 |
| Citations per 100 beds | 105.0 | 105.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | — | 2.8 | 3.4 | 3.9 |
| RN hours per resident day | — | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | — | 67.7% | 56.1% | 45.8% |
| Fines listed | $92,020 | $92,020 | $0 | — |
County and state figures are medians across facilities (2 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: 27 Jun 2025, 9 Sep 2024.
Severity mix: J ×1 G ×1 D ×31 E ×11 F ×18 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 |
|---|---|---|---|---|---|
| 27 Feb 2026 | 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. | J | Complaint investigation | 28 Feb 2026 |
| 18 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Dec 2025 |
| 27 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 10 Aug 2025 |
| 27 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Aug 2025 |
| 27 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 10 Aug 2025 |
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Aug 2025 |
| 20 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Dec 2024 |
| 20 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Dec 2024 |
| 20 Nov 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 27 Dec 2024 |
| 20 Nov 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 27 Dec 2024 |
| 13 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 7 Feb 2025 |
| 13 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Dec 2024 |
| 17 Oct 2024 | F0727 | 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. | F | Complaint investigation | 9 Dec 2024 |
| 17 Oct 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 9 Dec 2024 |
| 17 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Dec 2024 |
| 9 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 23 Oct 2024 |
| 9 Sep 2024 | F0727 | 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. | F | Complaint investigation | 10 Dec 2024 |
| 9 Sep 2024 | F0728 | 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. | F | Complaint investigation | 10 Dec 2024 |
| 9 Sep 2024 | F0801 | 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. | F | Standard survey | 10 Dec 2024 |
| 9 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Feb 2025 |
| 9 Sep 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 10 Dec 2024 |
| 9 Sep 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 10 Dec 2024 |
| 9 Sep 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 10 Dec 2024 |
| 9 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 7 Feb 2025 |
| 9 Sep 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 23 Oct 2024 |
| 9 Sep 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 23 Oct 2024 |
| 9 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 23 Oct 2024 |
| 9 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. | E | Complaint investigation | 7 Feb 2025 |
| 9 Sep 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 7 Feb 2025 |
| 9 Sep 2024 | 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 | 10 Dec 2024 |
| 9 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 23 Oct 2024 |
| 9 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 7 Feb 2025 |
| 9 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 | 7 Feb 2025 |
| 9 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 7 Feb 2025 |
| 9 Sep 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 10 Dec 2024 |
| 9 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Dec 2024 |
| 9 Sep 2024 | F0688 | Provide 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 | Complaint investigation | 23 Oct 2024 |
| 9 Sep 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 23 Oct 2024 |
| 9 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 23 Oct 2024 |
| 9 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Oct 2024 |
| 9 Sep 2024 | F0758 | Implement 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 | Standard survey | 10 Dec 2024 |
| 9 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 7 Feb 2025 |
| 9 Sep 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 23 Oct 2024 |
| 12 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 May 2024 |
| 12 Apr 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 24 May 2024 |
| 12 Apr 2024 | F0758 | Implement 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 | Complaint investigation | 24 May 2024 |
| 28 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 May 2024 |
| 28 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Apr 2024 |
| 28 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 24 May 2024 |
| 28 Feb 2024 | F0758 | Implement 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 | Complaint investigation | 24 May 2024 |
| 9 Nov 2023 | F0727 | 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. | F | Complaint investigation | 22 Dec 2023 |
| 9 Nov 2023 | F0728 | 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. | F | Complaint investigation | 22 Dec 2023 |
| 9 Nov 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Complaint investigation | 22 Dec 2023 |
| 22 Aug 2022 | F0727 | 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. | F | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0728 | 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. | E | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | 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 | 4 Oct 2022 |
| 22 Aug 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 4 Oct 2022 |
| 22 Aug 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 4 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Feb 2026 | Fine | $26,685 | |
| 9 Sep 2024 | Payment denial | — | 83 days |
| 9 Sep 2024 | Fine | $65,335 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators 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 | 39.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.7% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.4% | 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, limited liability company. Legal business name: Appleton City Manor Llc.
No organisations are listed in the CMS ownership record for this facility.
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 St. Clair County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Truman Lake Manor Incabuse icon | Lowry City | 120 | 1 | 2 | 2 | 36 | 30.0 | — | 22 May 2026 |
All 2 facilities in St. Clair County
Questions and answers
How many deficiencies has Appleton City Manor been cited for?
63 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Appleton City Manor been fined?
Yes. CMS lists fines totalling $92K in the period covered, plus 1 payment denial.
How does staffing at Appleton City Manor compare?
CMS does not report staffing hours for this facility.
Who operates Appleton City Manor?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Appleton City Manor last inspected?
The most recent survey or investigation in the CMS record is dated 27 Feb 2026; the most recent standard health survey was 27 Jun 2025.
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.