Apple Ridge Care Center

Nursing Home & Skilled Nursing · Waverly, MO

CMS overall rating

100 West Thomas Ave, Waverly, MO 64096-9143 View map

Calculator: See prices in your area

Apple Ridge Care Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Apple Ridge Care Center accepts Medicaid, Medicare, and private pay.

Overview of Apple Ridge Care Center

Waverly #1, Inc, along with owner Ram Chandra and administrator Dana Davis, operates Apple Ridge Care Center at 100 West Thomas Drive in Waverly, Missouri. The billing office handles standard payment methods, coordinating services through Medicare, Medicaid, and private pay insurance. With a walkability score of 19 out of 100, the local surroundings require residents and guests to use a vehicle for nearly all errands and trips outside the building.

The 60-bed facility maintains an occupancy level of 72 percent, while resident stays average 286 days. This operational timeline points to a daily schedule that balances brief post-hospital therapy routines with permanent residential nursing placements. The staff operates on continuous 24-hour schedules, averaging 3 hours and 34 minutes of total daily nursing care per resident through a combined team of registered nurses, practical nurses, and aides.

State inspectors from the Missouri Department of Health and Senior Services file regular compliance logs for the building. Recent survey documents noted specific procedural items requiring attention, including staff supervision habits and resident access to private communication methods within the secure wing, which means the facility’s cumulative citation rate is above zero.

Older adults can evaluate the on-site physical, occupational, and speech therapy setups to see how the clinical teams address daily physical goals. The building configuration features common meal halls, regular social activity programming, and specialized therapy rooms.

Facility Direct Line (660) 493-2232 adm@appleridgecc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 34m per day

vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +32% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	12m per day	▼ 59% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	54m per day	▲ 32% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 35m per day	▼ 31% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 31m per day	▼ 17% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 78% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	12m per day	▼ 42% State avg: 20m per day · National avg: 28m per day

Capacity and availability

286 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 19 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

72%

Higher than the Missouri average: 66.6%

Occupied beds

43 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 4, 2025

ExpirationDecember 3, 2026

CountyLafayette

License Number053213

CMS Certification Number265420

Certification TypeMedicare / Medicaid

Apple Ridge Care Center is legally operated by Waverly #1, Inc, and administered by Dana Davis.

Corporate EntityWAVERLY #1, INC

Owner NameWaverly #1, Inc

Skilled Nursing Facility

60 units

Total beds

60 units

Accept Medicaid

Rehabilitation Services

Occupational Therapy

Physical Therapy

Speech Therapy

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Restorative Therapy

Since 2018 · 8 years of data 103 deficiencies 14 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection December 30, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	103	35	This facility has 194% more total deficiencies than a typical Missouri assisted living residence (103 vs. MO avg 35).↑ 194% worse
Deficiencies per year Average deficiencies per year since 2018.	12.9	4.4	This facility has 193% more deficiencies per year than a typical Missouri assisted living residence (12.9 vs. MO avg 4.4).↑ 193% worse
Deficiencies per inspection Average deficiencies per inspection.	7.4	2.9	This facility has 155% more deficiencies per inspection than a typical Missouri assisted living residence (7.4 vs. MO avg 2.9).↑ 155% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	14	12	This facility has had 17% more total inspections than the Missouri average (14 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 17% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 30, 2025 complaint investigation found failure to prevent verbal and physical abuse due to no staff supervision on the behavioral locked unit during an internet outage.
December 19, 2025 routine inspection cited failure to provide private phone access on the locked unit, with residents forced to use nurses' office phones where conversations could be overheard.
April 15, 2024 complaint investigation deficiency for resident abuse was corrected within four days after staff education and implementation of safety checks.

Show Inspection Reports

Inspections since 2020

Total health inspections 7

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

4.86

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

30 of 34 citations resulted from standard inspections; and 4 of 34 resulted from complaint investigations.

Breakdown of citation severity (last 6 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

33 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 6 years)

Resident Rights moderate citation Jul 18, 2025

Corrected

Infection Control moderate citation Sep 11, 2024

Corrected

Infection Control moderate citation Sep 11, 2024

Corrected

Infection Control moderate citation Sep 11, 2024

Corrected

Total staff 51

Employees 42

Contractors 9

Staff to resident ratio 1.28 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,046

Nursing staff breakdown

7.9 hours

9.4 hours

9.9 hours

Contractor staffing

349 contractor hours this quarter

Physical Therapy Assistant: 3 Speech Language Pathologist: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Qualified Social Worker: 1

Staff by category


Licensed Practical Nurse	12	0	12	3,778	92	100%	9.4
Certified Nursing Assistant	12	0	12	3,685	92	100%	9.9
Nurse Aide in Training	6	0	6	1,852	92	100%	7.7
Medication Aide/Technician	3	0	3	1,114	91	99%	9.1
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	67	73%	7.9
Dental Services Staff	1	0	1	425	55	60%	7.7
Dietitian	1	0	1	379	54	59%	7
Registered Nurse	4	0	4	277	33	36%	7.9
Speech Language Pathologist	0	1	1	205	33	36%	6.2
Other Dietary Services Staff	1	0	1	131	25	27%	5.2
Qualified Social Worker	0	1	1	35	16	17%	2.2
Respiratory Therapy Technician	0	1	1	30	15	16%	2
Physical Therapy Assistant	0	3	3	28	31	34%	0.9
Occupational Therapy Aide	0	1	1	22	3	3%	7.3
Occupational Therapy Assistant	0	1	1	16	5	5%	3.2
Medical Director	0	1	1	13	13	14%	1

12 Licensed Practical Nurse

% of Days 100%

12 Certified Nursing Assistant

% of Days 100%

6 Nurse Aide in Training

% of Days 100%

3 Medication Aide/Technician

% of Days 99%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 73%

1 Dental Services Staff

% of Days 60%

1 Dietitian

% of Days 59%

4 Registered Nurse

% of Days 36%

1 Speech Language Pathologist

% of Days 36%

1 Other Dietary Services Staff

% of Days 27%

1 Qualified Social Worker

% of Days 17%

1 Respiratory Therapy Technician

% of Days 16%

3 Physical Therapy Assistant

% of Days 34%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 5%

1 Medical Director

% of Days 14%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 11.6

6% worse than State average

State average: 10.9

Functional decline score 20.5

6% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 25.7%

30% worse than State average

State average: 19.8%

Walking Ability Worsened 18.7%

9% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.2%

5% better than State average

State average: 18.1%

Falls with Major Injury 9.3%

131% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 0.0%

100% better than State average

State average: 5.0%

Urinary Tract Infection 1.3%

53% better than State average

State average: 2.7%

Lost Too Much Weight 4.3%

23% better than State average

State average: 5.6%

Depressive Symptoms 4.0%

69% better than State average

State average: 12.8%

Antipsychotic Use 42.7%

94% worse than State average

State average: 22.0%

Pneumococcal Vaccine 72.1%

15% worse than State average

State average: 85.2%

Influenza Vaccine 95.4%

5% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 35.6%

47% worse than State average

State average: 66.6%

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

45% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 40

Medicare

7.5% of residents

Medicaid

77.5% of residents

Private pay or other

15% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Apple Ridge Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 71.8% ↑ 2.6pp vs 2022

Net Patient Income $218.6K ↑ ~$128.0K vs 2022

Payroll Costs $1.5M ↑ ~$133.0K vs 2022

Operating Margin 6.5% ↑ 3.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	56.1%	63.3%	62.2%	72.8%	74.0%	63.4%	62.0%	64.4%	70.7%	72.1%	69.4%	69.2%	71.8%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$77,287	$179,044	$160,413	$235,805	$28,206	-$50,518	-$107,963	$7,917	$172,295	$797,461	$20,977	$225,852	$322,266
Gross Revenue	$2,239,114	$2,731,345	$2,554,938	$3,189,832	$3,254,710	$2,840,122	$2,644,423	$2,559,705	$2,838,670	$3,240,417	$3,591,104	$3,639,418	$3,702,299
Operating Expenses	$1,913,793	$2,231,763	$2,185,617	$2,580,216	$2,890,108	$2,570,423	$2,481,055	$2,389,063	$2,561,582	$3,270,027	$2,969,406	$3,090,759	$3,165,306
Net Patient Income	$42,614	$144,462	$165,003	$232,386	$11,992	-$61,922	-$127,871	-$35,381	$139,784	$4,820	-$25,753	$90,618	$218,616
Net Patient Revenue	$1,956,407	$2,376,225	$2,350,620	$2,812,602	$2,902,100	$2,508,501	$2,353,184	$2,353,682	$2,701,366	$3,274,847	$2,943,653	$3,181,377	$3,383,922
Payroll Costs	$909,245	$928,817	$973,645	$1,145,169	$1,618,488	$1,373,707	$1,309,363	$1,201,590	$1,287,697	$1,520,561	$1,328,622	$1,352,388	$1,485,399
Operating Margin %	2.2%	6.1%	7.0%	8.3%	0.4%	-2.5%	-5.4%	-1.5%	5.2%	0.2%	-0.9%	2.9%	6.5%
Medicare %	5.6%	5.1%	5.9%	5.6%	8.4%	4.7%	3.5%	0.7%	3.4%	10.8%	4.1%	6.0%	2.7%
Medicaid %	71.0%	84.7%	82.5%	80.3%	76.8%	82.4%	84.3%	90.2%	87.8%	81.9%	93.2%	88.4%	89.0%
Private %	23.4%	10.2%	11.5%	14.1%	14.8%	12.9%	12.2%	9.1%	8.7%	7.3%	2.7%	5.5%	8.3%
Net Patient Revenue/Day	$159	$171	$173	$176	$179	$180	$173	$167	$174	$207	$194	$210	$215
Cost/Day	$156	$161	$161	$162	$178	$185	$183	$169	$165	$207	$195	$204	$201
Avg Length of Stay	231.8 days	204.3 days	230.8 days	231.1 days	207.8 days	211.0 days	357.4 days	414.7 days	407.6 days	304.5 days	298.0 days	202.1 days	286.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.4M

Net patient income

$218.6K

For-profit Corporation

Net patient revenue

$3.4M

Net patient income

$218.6K

Other income

$103.7K

Payroll costs

$1.5M 43.9% of net patient revenue

Other operating costs

$1.7M

Total costs

$3.2M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 29%

Private pay 45%

Medicaid 26%

Coverage residents most often leave under.

Medicare 11%

Private pay 44%

Medicaid 45%

0.0 miles from city center Estimated distance in miles from Waverly's city center to Apple Ridge Care Center's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Apple Ridge Care Center

Add your location

Compare Nursing Homes around the area

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Republic Nursing and Rehab	NH	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Apple Ridge Care Center	NH SNF	Waverly	-	60	-	19	-

Nursing Home Explorer

Who is the owner of Apple Ridge Care Center?

Apple Ridge Care Center is legally operated by Waverly #1, Inc, and administered by Dana Davis.

Is Apple Ridge Care Center in a walkable area?

Apple Ridge Care Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Apple Ridge Care Center?

According to MO state health department records, Apple Ridge Care Center's license number is 053213.

When does Apple Ridge Care Center's license expire?

According to MO state health department records, Apple Ridge Care Center's license expires on December 3, 2026.

What is the occupancy rate at Apple Ridge Care Center?

Apple Ridge Care Center's occupancy is 72%.

Does Apple Ridge Care Center operate as a for-profit or non-profit?

Apple Ridge Care Center is registered as a for-profit in MO.

Who is the administrator of Apple Ridge Care Center?

Dana Davis is the administrator of Apple Ridge Care Center.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Apple Ridge Care Center

Overview of Apple Ridge Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Contact Apple Ridge Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

12 Licensed Practical Nurse

12 Certified Nursing Assistant

6 Nurse Aide in Training

3 Medication Aide/Technician

1 Administrator

1 Nurse Practitioner

1 Dental Services Staff

1 Dietitian

4 Registered Nurse

1 Speech Language Pathologist

1 Other Dietary Services Staff

1 Qualified Social Worker

1 Respiratory Therapy Technician

3 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Apple Ridge Care Center

Calculate Travel Distance to Apple Ridge Care Center

Compare Nursing Homes around the area

Guides for Better Senior Living