Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
APPLETON CITY MANOR
APPLETON CITY MANOR is a Nursing Home in Missouri
APPLETON CITY MANOR is a Nursing Home in Missouri
APPLETON CITY MANOR
APPLETON CITY MANOR is a Nursing Home in Missouri
APPLETON CITY MANOR is a Nursing Home in Missouri
Appleton City Manor is a senior living community in Appleton City, MO. It offers long-term and short-term skilled nursing care, physical, occupational, and speech therapy services. The facility is newly remodeled and provides a warm, welcoming environment for residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
63.2%
Residents per day (avg)
25
Occupancy rate
63.2%
Residents per day (avg)
25
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
13% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
35% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
52% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Other
Home revenue
$2.6M
Operating loss
-$141.9K
Proprietary home
Other
Home revenue
$2,645,778.00
Operating loss
$-141,850.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.8M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265843
Certification type:
Medicare/Medicaid
County:
SAINT CLAIR
Ownership & operating entity
APPLETON CITY MANOR is administrated by DELMA HEARTING.
Owner name:
APPLETON CITY MANOR, LLC
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Activities
Engaging daily activities and community programs are offered.
Specific Programs
Long Term Care, Skilled Nursing, Therapy Services, Hospice & Respite Care, Specialized Wound Care, Comprehensive Nursing & Rehab Programs
Dining & Nutrition
Food Description
Exceptional dining with quality, flavorful meals prepared by a Chef from Cordon Bleu.
Meals Included
Yes
Comparison Chart
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.Compare Nursing Homes around Missouri
Bertrand Nursing And Rehab Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
APPLETON CITY MANOR
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64724-1609
84
No
-
REED, GLEN
63.2%
$2,604,673.00
$1,292,084.00
49.6%
25.20
1/5
6.1745
2/5
3/5
1/5
1
ADVANCED CARE OF ST JOSEPH
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
AMBERWOOD ESTATES NURSING AND REHABILITATION
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near APPLETON CITY MANOR
104.0 miles from city center
APPLETON CITY, MO 64724-1609
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
68
Total Staff
55
Employees
13
Contractors
14,112
Total Hours (Quarter)
19
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 9.3 | No |
| Licensed Practical Nurse | 6 | 9.2 | No |
| Certified Nursing Assistant | 23 | 9.7 | Yes |
Staff by Category
Administration ⓘ
2 staff
7hs shift avg
Nursing Staff ⓘ
52 staff
9.2hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.3hs shift avg
Therapy Services ⓘ
5 staff
1.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
0.9hs shift avg
Dietary Services ⓘ
3 staff
6.7hs shift avg
Other Services ⓘ
1 staff
8.8hs shift avg
Contractor Analysis
2.5%
of total hours from contractors
349 contractor hours this quarter
Certified Nursing Assistant: 2
Physical Therapy Aide: 1
Feeding Assistant: 1
Medical Director: 1
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 1
Qualified Social Worker: 3
Other Physician: 1
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 21 | 2 | 23 | 4,648 | 91 | 100% | 9.7 |
| Medication Aide/Technician | 12 | 0 | 12 | 3,467 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,857 | 91 | 100% | 9.2 |
| Registered Nurse | 5 | 0 | 5 | 1,067 | 91 | 100% | 9.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 805 | 80 | 88% | 6.7 |
| Dental Services Staff | 1 | 0 | 1 | 543 | 62 | 68% | 8.8 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 367 | 46 | 51% | 8 |
| Nurse Aide in Training | 4 | 0 | 4 | 196 | 26 | 29% | 7 |
| Feeding Assistant | 0 | 1 | 1 | 41 | 14 | 15% | 2.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 39 | 34 | 37% | 1.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 37 | 36 | 40% | 1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 23 | 14 | 15% | 1.7 |
| Medical Director | 0 | 1 | 1 | 22 | 11 | 12% | 2 |
| Qualified Social Worker | 0 | 3 | 3 | 16 | 17 | 19% | 0.9 |
| Other Physician | 0 | 1 | 1 | 14 | 6 | 7% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 6 | 1 | 1% | 6 |
| Speech Language Pathologist | 0 | 1 | 1 | 4 | 5 | 5% | 0.9 |
Health Inspection History
Source: CMS Health Citations (Aug 2022 – Jun 2025)
9
Inspections
61
Total Citations
0
Critical (J-L)
1
Serious (G-I)
6.78
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
13
21% of total
Pharmacy Services
11
18% of total
Infection Control
6
10% of total
Resident Rights
6
10% of total
Abuse, Neglect & Exploitation
4
7% of total
Administration
3
5% of total
Citation Sources
Standard Inspections
42
Complaint Investigations
30
State Comparison (MO)
Citations
61
Missouri average: 36.5
Critical Citations
0
Missouri average: 0.7
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jun 27, 2025 | D | Infection Control | F0880 | Corrected |
| Jun 27, 2025 | D | Pharmacy | F0757 | Corrected |
| Jun 27, 2025 | D | Pharmacy | F0760 | Corrected |
| Jun 27, 2025 | D | Quality of Care | F0699 | Corrected |
| Nov 20, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Nov 20, 2024 | D | Quality of Care | F0689 | Corrected |
| Nov 20, 2024 | D | Quality of Care | F0740 | Corrected |
| Nov 20, 2024 | D | Quality of Care | F0745 | Corrected |
| Nov 13, 2024 | F | Infection Control | F0880 | Corrected |
| Nov 13, 2024 | D | Quality of Care | F0686 | Corrected |
| Oct 17, 2024 | F | Nursing Services | F0727 | Corrected |
| Oct 17, 2024 | D | Quality of Care | F0689 | Corrected |
| Oct 17, 2024 | E | Resident Rights | F0567 | Corrected |
| Sep 09, 2024 | E | Abuse/Neglect | F0607 | Corrected |
| Sep 09, 2024 | F | Administration | F0851 | Corrected |
| Sep 09, 2024 | F | Administration | F0865 | Corrected |
| Sep 09, 2024 | F | Administration | F0868 | Corrected |
| Sep 09, 2024 | F | Infection Control | F0880 | Corrected |
| Sep 09, 2024 | F | Infection Control | F0881 | Corrected |
| Sep 09, 2024 | F | Infection Control | F0882 | Corrected |
| Sep 09, 2024 | F | Nursing Services | F0727 | Corrected |
| Sep 09, 2024 | F | Nursing Services | F0728 | Corrected |
| Sep 09, 2024 | C | Nursing Services | F0732 | Corrected |
| Sep 09, 2024 | F | Nutrition | F0801 | Corrected |
| Sep 09, 2024 | F | Nutrition | F0812 | Corrected |
| Sep 09, 2024 | E | Pharmacy | F0755 | Corrected |
| Sep 09, 2024 | E | Pharmacy | F0756 | Corrected |
| Sep 09, 2024 | D | Pharmacy | F0758 | Corrected |
| Sep 09, 2024 | E | Quality of Care | F0678 | Corrected |
| Sep 09, 2024 | G | Quality of Care | F0684 | Corrected |
| Sep 09, 2024 | D | Quality of Care | F0686 | Corrected |
| Sep 09, 2024 | D | Quality of Care | F0688 | Corrected |
| Sep 09, 2024 | D | Quality of Care | F0690 | Corrected |
| Sep 09, 2024 | D | Quality of Care | F0692 | Corrected |
| Sep 09, 2024 | D | Quality of Care | F0695 | Corrected |
| Sep 09, 2024 | D | Care Planning | F0636 | Corrected |
| Sep 09, 2024 | E | Care Planning | F0638 | Corrected |
| Sep 09, 2024 | D | Care Planning | F0640 | Corrected |
| Sep 09, 2024 | D | Care Planning | F0655 | Corrected |
| Sep 09, 2024 | D | Care Planning | F0842 | Corrected |
| Sep 09, 2024 | E | Resident Rights | F0625 | Corrected |
| Apr 12, 2024 | D | Pharmacy | F0757 | Corrected |
| Apr 12, 2024 | D | Pharmacy | F0758 | Corrected |
| Apr 12, 2024 | D | Resident Rights | F0550 | Corrected |
| Feb 28, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Feb 28, 2024 | D | Pharmacy | F0757 | Corrected |
| Feb 28, 2024 | D | Pharmacy | F0758 | Corrected |
| Feb 28, 2024 | D | Resident Rights | F0550 | Corrected |
| Nov 09, 2023 | F | Nursing Services | F0727 | Corrected |
| Nov 09, 2023 | F | Nursing Services | F0728 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Partnership
Resident Census by Payment Source
38
Total Residents
Medicare
1
(2.6%)
ⓘ
Medicaid
18
(47.4%)
ⓘ
Private Pay/Other
19
(50%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
12.9
Score
18% worse than avg
Missouri avg: 10.9
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
25.4
Score
30% worse than avg
Missouri avg: 19.5
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
26.1%
Lost Too Much Weight
4.2%
Urinary Tract Infection
5.2%
Depressive Symptoms
4.6%
Falls with Major Injury
10.1%
Pneumococcal Vaccine
58.0%
Antipsychotic Use
23.4%
Walking Ability Worsened
16.5%
Influenza Vaccine
60.0%
High Risk Residents with Pressure Ulcers
7.5%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
33.5%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
44.9%
33% worse than avg
Missouri: 66.6%
Penalties & Fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total Fines
$65K
Missouri avg: $73K
11% better than avg
Number of Fines
1
Missouri avg: 2.4
Payment Denials
1
83 total days
Compared to Missouri Average
Facility: $65K |
Missouri Avg: $73K
Penalty History
Showing all 2 penalties (Sep 2024 - Sep 2024)
Sep 9, 2024
Civil Money Penalty
$65K
Sep 9, 2024
Payment Denial
83 days
Financial Trends
Historical financial and operational data for APPLETON CITY MANOR based on CMS SNF Cost Reports.
Occupancy Rate
63.2%
↑ 9.9pp vs 2022
Net Income
-$141,850
↑ ~$7K vs 2022
Total Payroll
$1,888,899
↑ ~$398K vs 2022
Profit Margin
-5.5%
↑ 1.8pp vs 2022
Loading trend charts...
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Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Missouri Medicaid A&D Waiver
Official government program page
- General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- MO Specifics: Rural access prioritized.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
Missouri Supplemental Nursing Care (SNC)
- General: Age 65+, Missouri resident, in approved facility.
- Income Limits: ~$1,215/month (individual).
- Asset Limits: $2,000 (individual).
- MO Specifics: Supplements SSI; facility-based only.
- Services: Monthly cash payment (~$156-$292/month) for care costs.
Structured Family Caregiving Waiver (SFCW)
Missouri Structured Family Caregiving Waiver
Official government program page
- General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
- Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.
- Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
- MO Specifics: Caregiver must be family; small program size.
- Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
MO HealthNet Aged, Blind, and Disabled (ABD)
Missouri MO HealthNet ABD
Official government program page
- General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
- Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.
- Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
- MO Specifics: Less intensive than waivers; statewide access.
- Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Medicare Savings Program (MSP)
Missouri Medicare Savings Program
Official government program page
- General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Missouri Caregiver Program
Official government program page
- General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).
- Asset Limits: Not assessed; need-based.
- MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.
- Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Senior Community Service Employment Program (SCSEP)
Missouri SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, Missouri resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- MO Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Missouri VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- MO Specifics: High veteran demand in rural/urban areas.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Claim What’s Yours Financial Aid for Missouri Seniors
Missouri Medicaid A&D Waiver
Aged and Disabled Waiver
Requirements:
General:Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$2,000 (individual), $3,000 (couple).
MO Specifics:Rural access prioritized.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
MO SNC
Missouri Supplemental Nursing Care (SNC)
Requirements:
- General:Age 65+, Missouri resident, in approved facility.
- Income Limits:~$1,215/month (individual).
- Asset Limits:$2,000 (individual).
- MO Specifics:Supplements SSI; facility-based only.
Benefits without Contact:
- Services: Monthly cash payment (~$156-$292/month) for care costs.
Missouri Structured Family Caregiving Waiver
Structured Family Caregiving Waiver (SFCW)
Requirements:
- General:Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
- Income Limits (2025):~$2,901/month (300% FBR, individual); QIT required.
- Asset Limits:$5,909.25 (individual), $11,818.45 (couple).
- MO Specifics:Caregiver must be family; small program size.
Benefits without Contact:
- Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
Missouri MO HealthNet ABD
MO HealthNet Aged, Blind, and Disabled (ABD)
Requirements:
- General:Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
- Income Limits (2025):~$1,690/month (individual, projected); spenddown allowed.
- Asset Limits:$5,909.25 (individual), $11,818.45 (couple).
- MO Specifics:Less intensive than waivers; statewide access.
Benefits without Contact:
- Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Missouri Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, Missouri resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- MO Specifics:Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Requirements:
- General:Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year individual).
- Asset Limits:Not assessed; need-based.
- MO Specifics:Administered via AAAs and Alzheimer’s Association; rural focus.
Benefits without Contact:
- Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Missouri SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, Missouri resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- MO Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Missouri VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- MO Specifics:High veteran demand in rural/urban areas.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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