Occupancy rate
63%
In line with Missouri averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Appleton City Manor
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Privately-owned community
Home revenue
$2.6M
Operating loss
-$141.9K
Privately-owned community
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
Occupancy
In line with Missouri averageOccupied beds
38 / 60
Average residents
72 per day
License details
Facility type
Snf
County:
SAINT CLAIR
Additional licensing details
CMS Certification Number:
265843
Certification type:
Medicare/Medicaid
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
Health Inspection History
Inspections
Total health inspections
9
Missouri average 6.6
Last Health inspection on Jun 2025
Total health citations
61
Citations per inspection
6.78
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 61 citations resulted from standard inspections; 19 of 61 resulted from complaint investigations; and 11 of 61 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
0 critical citations
1 serious citation
59 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Jun 27, 2025
Corrected
Pharmacy moderate citation
Jun 27, 2025
Corrected
Pharmacy moderate citation
Jun 27, 2025
Corrected
Quality of Care moderate citation
Jun 27, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
-
10
-
+42%-2%+18%
Appleton City Manor
-6%
+65%
-5%
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
-
REED, GLEN
63.2%
$2,604,673.00
$1,292,084.00
49.6%
25
6.1745
1
61
1
-6%+65%-5%
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
-
38
-
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Appleton City Manor
Type of care:
SNF
AL
Community:
MO 64724-1609
Bed Count:
84
Operator:
REED, GLEN
CCN:
265843
Occupancy:
63.2%
Home Revenue:
$2,604,673.00
Payroll Costs:
$1,292,084.00
Payroll %:
49.6%
Avg Residents/Day:
25
Overall Rating:
Adj Nurse Hours:
6.1745
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
61
Severe Citations:
1
RN share vs State Avg:
-6%
-6%
Staffing vs State Avg:
+65%
+65%
Occupancy vs State Avg:
-5%
-5%
Places of interest near Appleton City Manor
104.0 miles from city center
APPLETON CITY, MO 64724-1609
Calculate Travel Distance to Appleton City Manor
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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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
38 residents
Residents by payment source
Medicare
1 resident (2.6%)
Medicaid
18 residents (47.4%)
Private pay or other
19 residents (50%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.9
18% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.4
30% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.1%
Percent of long-stay residents whose need for help with daily activities has increased
26.1%
32% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.5%
Percent of long-stay residents whose ability to move independently worsened
16.5%
20% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.5%
85% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
150% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.5%
Percent of long-stay high risk residents with pressure ulcers
7.5%
50% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
92% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.2%
Percent of long-stay residents who lose too much weight
4.2%
24% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.6%
Percent of long-stay residents who have depressive symptoms
4.6%
64% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.4%
Percent of long-stay residents who received an antipsychotic medication
23.4%
6% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
58.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
58.0%
32% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
34% worse than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.9%
33% worse than Missouri averageMissouri average: 66.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and 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 amount
$65K
11% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$65K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 9, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 9, 2024
$65K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 9, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 9, 2024
83 days
Last updated: Jan 2026
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
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