What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Appleton City Manor | Missouri | Photos & Videos

Overview of 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.

(660) 476-2128

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 6.17/day

Overall rating

1/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

1/5

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.

63.2%

TYPE OF STAY

Mostly long-term care residents

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

Might be optimal for

Long-term daily care Ongoing support needs

How we assess these insights Show admissions and discharges

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

Home revenue

$2.6M

Operating loss

-$141.9K

Proprietary home Other

Home revenue

$2,645,778.00

Operating loss

$-141,850.00

Payroll costs

$1.3M

48.8% of revenue

Other operating costs

$1.5M

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

Beauty and barber services

three nutritious home-cooked meals daily

engaging daily activities

secured exits for safety

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

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

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

MO 64724-1609

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

Advanced Care of St Joseph

SNF

MO 64505-1872

180

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

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

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

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

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: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Appleton City Manor

Type of care: SNF AL

Community: MO 64724-1609

Bed Count: 84

Pets Allowed: No

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: 25.20

Overall Rating: 1/5

Adj Nurse Hours: 6.1745

Health Insp Rating: 2/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 1

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

APPLETON CITY, MO 64724-1609

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Total Staff

Employees

Contractors

14,112

Total Hours (Quarter)

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

View All Staffing Data

Total Health inspections 9

36% above Missouri average

Missouri average: 6.6

Last Health inspection on Jun 2025

Total Health citations 61

67% above Missouri average

Missouri average: 36.5

6.78 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 42 citations

Complaint investigations 30 citations

Breakdown of citations

Critical Health citations 0

100% below Missouri average

Missouri average: 0.7

Serious Health citations 1

Near Missouri average

Missouri average: 1.0

Moderate Health citations 59

Minor Health citations 1

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

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

High-risk clinical events score 12.9

18% worse than Missouri average

Missouri average: 10.9

Functional decline score 25.4

30% worse than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 26.1%

32% above Missouri average.

Walking Ability Worsened 16.5%

20% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 33.5%

85% above Missouri average.

Falls with Major Injury 10.1%

150% above Missouri average.

High Risk Residents with Pressure Ulcers 7.5%

50% above Missouri average.

Urinary Tract Infection 5.2%

92% above Missouri average.

Depressive Symptoms 4.6%

64% below Missouri average.

Antipsychotic Use 23.4%

6% above Missouri average.

Pneumococcal Vaccine 58.0%

32% below Missouri average.

Influenza Vaccine 60.0%

34% below Missouri average.

Lost Too Much Weight 4.2%

24% below Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 44.9%

33% worse than Missouri average

Total fines amount $65K

This home paid 11% less in fines than the state average.

Missouri average: $73K

Number of Fines 1

This home received 59% fewer fines than the state average.

Missouri average: 2.4

Payment Denials 1

This home had 45% more payment denials than the state average.

Missouri average: 0.7

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Sep 9, 2024

$65K

Payment Denial 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

Loading trend charts...

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	61.1%	58.9%	63.4%	61.6%	54.1%	58.1%	58.1%	52.0%	41.8%	41.3%	53.3%	63.2%
Beds	84	84	84	84	84	84	84	84	84	84	84	84
Net Income	-$16,241	$125,041	$172,484	$130,258	$118,386	$214,088	$161,895	$53,115	$147,329	$115,993	-$148,365	-$141,850
Gross Revenue	$429,210	$1,784,343	$2,060,058	$2,065,032	$1,970,830	$1,916,641	$2,003,282	$1,854,643	$1,609,892	$1,713,382	$2,057,916	$2,604,673
Operating Expenses	$450,863	$1,706,207	$1,892,075	$1,881,022	$1,792,604	$1,647,139	$1,809,055	$1,795,583	$1,869,601	$1,865,789	$2,248,700	$2,791,770
Net Patient Revenue	$428,619	$1,805,253	$2,036,913	$1,983,770	$1,878,522	$1,829,554	$1,935,712	$1,812,409	$1,607,821	$1,737,798	$2,059,402	$2,608,815
Total Payroll	$254,461	$1,028,740	$1,158,059	$1,140,152	$1,113,747	$998,042	$1,067,631	$1,079,785	$1,091,572	$1,189,443	$1,490,990	$1,888,899
Profit Margin %	-3.8%	7.0%	8.4%	6.3%	6.0%	11.2%	8.1%	2.9%	9.2%	6.8%	-7.2%	-5.5%
Medicare %	0.7%	3.4%	3.9%	3.3%	5.1%	1.4%	2.0%	1.1%	1.0%	1.5%	0.6%	1.0%
Medicaid %	27.5%	19.4%	20.9%	24.6%	28.7%	29.0%	28.3%	34.7%	42.6%	40.7%	38.7%	37.0%
Private %	71.8%	77.2%	75.2%	72.1%	66.2%	69.7%	69.6%	64.1%	56.4%	57.8%	60.7%	62.0%
Revenue/Day	$91	$100	$105	$105	$113	$103	$109	$114	$125	$137	$126	$135
Cost/Day	$95	$95	$97	$100	$108	$92	$102	$113	$146	$147	$138	$144
Avg Length of Stay	563.5 days	313.0 days	246.1 days	269.5 days	224.9 days	293.9 days	368.9 days	284.0 days	293.3 days	186.7 days	282.5 days	226.7 days

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

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

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.

Missouri Supplemental Nursing Care (SNC)

MO 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.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

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.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

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.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

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.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

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.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

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.

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.

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

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly long-term care residents

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Compare Nursing Homes around Missouri

Places of interest near Appleton City Manor

Calculate Travel Distance to Appleton City Manor

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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