Appleton City Manor

Nursing Home, Hospice Care, Memory Care & Respite Care · Appleton City, MO

CMS overall rating

600 North Ohio St, Appleton City, MO 64724-1609 View map

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Appleton City Manor accepts Medicare, Medicaid, and private pay.

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Appleton City Manor accepts Medicare, Medicaid, and private pay.

Overview of Appleton City Manor

Appleton City Manor is a 60-bed care community situated on North Ohio Street in Appleton City, Missouri, overseen by operator Glen Reed under Appleton City Manor, LLC and administrator Delma Hearting. Billing setups support typical financial avenues, clearing transactions through Medicare, Medicaid, and private pay. For visitors planning trips, the property rests in a quiet, car-dependent setting where family members will depend on a vehicle for almost all errands and transportation to the campus.

Operational summaries report a 52 percent occupancy rate alongside an average length of stay of 227 days, indicating a population that heavily emphasizes long-term skilled care beside conventional short-term post-hospital therapy. To maintain hands-on physical monitoring, the 24-hour shift schedule logs an average of 6 hours and 10 minutes of total nursing care per resident each day. This staffing layout utilizes registered nurses, licensed practical nurses, and nurse aides who supervise clinical checkpoints across all units.

Documentation shows that recent survey processes noted standard regulatory citations concerning physical plant maintenance and medication administration records, meaning the building’s total cumulative citations-per-inspection rate is above zero.

Prospective residents can access focused physical therapy tracks, expert wound care, and specialized hospice or temporary respite loops. The daily routine blends these clinical services with activities, beauty and barber salon setups, a secured-exit environment, and home-cooked meal options under culinary direction.

Facility Direct Line (660) 476-2128

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

6h 10m per day

vs avg

1 of 6 metrics below state avg

Standout metric LPN / LVN is +55% 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.	42m per day	▲ 50% 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.	1h 4m per day	▲ 55% 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.	3h 34m per day	▲ 54% 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.	4h 44m per day	▲ 55% 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.	2m per day	▼ 13% 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.	20m per day	■ Avg State avg: 20m per day · National avg: 28m per day

Capacity and availability

227 days

60-bed community

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

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 45 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

52%

Lower than the Missouri average: 66.6%

Occupied beds

31 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 8, 2024

ExpirationNovember 30, 2026

CountySaint Clair

License Number052690

CMS Certification Number265843

Certification TypeMedicare / Medicaid

Appleton City Manor is legally operated by Appleton City Manor, Llc, and administered by Delma Hearting.

Corporate EntityAPPLETON CITY MANOR, LLC

Owner NameAppleton City Manor, LLC

Skilled Nursing Facility

60 units

Total beds

60 units

Rehabilitation Services

Respite Care

Doctor on Staff

24-Hour Staffing

Beauty And Barber Services

Three Nutritious Home-Cooked Meals Daily

Engaging Daily Activities

Secured Exits For Safety

Activities

Since 2022 · 4 years of data 73 deficiencies 10 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 2022 vs. Missouri state average

Overall vs. MO average

Latest Inspection November 18, 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.	73	35	This facility has 109% more total deficiencies than a typical Missouri assisted living residence (73 vs. MO avg 35).↑ 109% worse
Deficiencies per year Average deficiencies per year since 2022.	18.3	8.8	This facility has 108% more deficiencies per year than a typical Missouri assisted living residence (18.3 vs. MO avg 8.8).↑ 108% worse
Deficiencies per inspection Average deficiencies per inspection.	7.3	5	This facility has 46% more deficiencies per inspection than a typical Missouri assisted living residence (7.3 vs. MO avg 5).↑ 46% 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.	10	7	This facility has 43% more total inspections than a typical Missouri assisted living residence (10 vs. MO avg 7).↑ 43% worse

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

November 18, 2025 complaint investigation substantiated a resident fall causing a hairline fracture due to hurried staff assistance and lack of CNA training documentation.
June 27, 2025 routine inspection found four deficiencies including failure in trauma-informed care, medication monitoring, controlled medication administration, and incomplete infection control program.
November 20, 2024 complaint investigation revealed failures to timely report suspected abuse, provide behavioral health care, and maintain a safe environment with resident drug possession.

Show Inspection Reports

Inspections since 2023

Total health inspections 9

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

6.78

State average N/A

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

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

1 serious citation State average: N/A

59 moderate citations State average: N/A

1 minor citation State average: N/A

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

Total staff 68

Employees 54

Contractors 14

Staff to resident ratio 1.79 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,710

Nursing staff breakdown

8.9 hours

9.5 hours

8.5 hours

Contractor staffing

441 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Medical Director: 1 Licensed Practical Nurse: 1 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	21	0	21	4,825	92	100%	8.5
Medication Aide/Technician	9	0	9	3,439	92	100%	8.8
Licensed Practical Nurse	6	1	7	2,377	92	100%	9.5
Nurse Aide in Training	5	0	5	1,499	86	93%	9.1
Registered Nurse	5	0	5	964	92	100%	8.9
Other Dietary Services Staff	3	0	3	849	77	84%	6.3
RN Director of Nursing	1	0	1	529	62	67%	8.5
Administrator	1	0	1	504	63	68%	8
Nurse Practitioner	1	0	1	480	60	65%	8
Clinical Nurse Specialist	1	0	1	468	59	64%	7.9
Dental Services Staff	1	0	1	406	56	61%	7.3
Physical Therapy Aide	0	2	2	127	61	66%	2
Respiratory Therapy Technician	0	2	2	79	50	54%	1.6
Qualified Social Worker	0	3	3	46	55	60%	0.8
Occupational Therapy Aide	0	1	1	38	6	7%	6.4
Physical Therapy Assistant	0	2	2	32	21	23%	1.5
Speech Language Pathologist	0	1	1	27	15	16%	1.8
Occupational Therapy Assistant	0	1	1	14	4	4%	3.5
Medical Director	0	1	1	6	6	7%	1

21 Certified Nursing Assistant

% of Days 100%

9 Medication Aide/Technician

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

5 Nurse Aide in Training

% of Days 93%

5 Registered Nurse

% of Days 100%

3 Other Dietary Services Staff

% of Days 84%

1 RN Director of Nursing

% of Days 67%

1 Administrator

% of Days 68%

1 Nurse Practitioner

% of Days 65%

1 Clinical Nurse Specialist

% of Days 64%

1 Dental Services Staff

% of Days 61%

2 Physical Therapy Aide

% of Days 66%

2 Respiratory Therapy Technician

% of Days 54%

3 Qualified Social Worker

% of Days 60%

1 Occupational Therapy Aide

% of Days 7%

2 Physical Therapy Assistant

% of Days 23%

1 Speech Language Pathologist

% of Days 16%

1 Occupational Therapy Assistant

% of Days 4%

1 Medical Director

% of Days 7%

View All Staffing Data

Total fines amount $65K

11% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $65K

State average $73K

Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Sep 9, 2024

$65K

Payment Denial Sep 9, 2024

83 days

Last updated: Jan 2026

High-risk clinical events score 12.9

18% worse than State average

State average: 10.9

Functional decline score 25.4

30% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 26.1%

32% worse than State average

State average: 19.8%

Walking Ability Worsened 16.5%

20% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 33.5%

85% worse than State average

State average: 18.1%

Falls with Major Injury 10.1%

150% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 7.5%

50% worse than State average

State average: 5.0%

Urinary Tract Infection 5.2%

92% worse than State average

State average: 2.7%

Lost Too Much Weight 4.2%

24% better than State average

State average: 5.6%

Depressive Symptoms 4.6%

64% better than State average

State average: 12.8%

Antipsychotic Use 23.4%

6% worse than State average

State average: 22.0%

Pneumococcal Vaccine 58.0%

32% worse than State average

State average: 85.2%

Influenza Vaccine 60.0%

34% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 5.04

142% worse than State average

State average: 2.08

ED visits per 1,000 days 7.64

225% worse than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 44.9%

33% worse than State average

State average: 66.6%

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

Total residents 38

Medicare

2.6% of residents

Medicaid

47.4% of residents

Private pay or other

50% of residents

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.

Financial Trends

Historical financial and operational data for Appleton City Manor from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 88.4% ↑ 35.1pp vs 2022

Net Patient Income -$183.0K ↑ ~$6.3K vs 2022

Payroll Costs $1.4M ↑ ~$166.0K vs 2022

Operating Margin -7.0% ↑ 2.2pp vs 2022

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%	88.4%
Beds	84	84	84	84	84	84	84	84	84	84	84	60
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 Income	-$22,244	$99,046	$144,838	$102,748	$85,918	$182,415	$126,657	$16,826	-$261,780	-$127,991	-$189,298	-$182,955
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
Payroll Costs	$249,374	$910,603	$988,852	$1,029,989	$1,008,962	$933,542	$986,352	$1,026,888	$1,051,446	$1,147,945	$1,273,695	$1,439,675
Operating Margin %	-5.2%	5.5%	7.1%	5.2%	4.6%	10.0%	6.5%	0.9%	-16.3%	-7.4%	-9.2%	-7.0%
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%
Net Patient 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

Finances and operations

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

Net patient revenue

$2.6M

Net patient income

-$183.0K

For-profit Operated by a single business entity.

Net patient revenue

$2.6M

Net patient income

-$183.0K

Other income

$41.1K

Payroll costs

$1.4M 55.2% of net patient revenue

Other operating costs

$1.4M

Total costs

$2.8M

TYPE OF STAY

Mostly long-term care residents

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

Most new residents arrive under Medicaid (52% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 13%

Private pay 35%

Medicaid 52%

Coverage residents most often leave under.

Medicare 13%

Private pay 39%

Medicaid 48%

0.0 miles from city center Estimated distance in miles from Appleton City's city center to Appleton City Manor's address, calculated via Google Maps.

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


Appleton City Manor	NH HC MC RC	Appleton City	-	60	-	45	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Ignite Medical Resort Blue Springs	NH PC	Blue Springs	-	90	-	68	-
Moore-Few Care Center	NH HC MC PC RC	-	-	108	-	39	Private Suites

Nursing Home Explorer

Is Appleton City Manor in a walkable area?

Appleton City Manor has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Appleton City Manor?

According to MO state health department records, Appleton City Manor's license number is 052690.

When does Appleton City Manor's license expire?

According to MO state health department records, Appleton City Manor's license expires on November 30, 2026.

What is the occupancy rate at Appleton City Manor?

Appleton City Manor's occupancy is 52%.

Does Appleton City Manor operate as a for-profit or non-profit?

Appleton City Manor is registered as a for-profit in MO.

Who is the administrator of Appleton City Manor?

Delma Hearting is the administrator of Appleton City Manor.

How many beds does Appleton City Manor have?

Appleton City Manor has 60 beds.

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Appleton City Manor

Overview of Appleton City Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Appleton City Manor

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 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

21 Certified Nursing Assistant

9 Medication Aide/Technician

7 Licensed Practical Nurse

5 Nurse Aide in Training

5 Registered Nurse

3 Other Dietary Services Staff

1 RN Director of Nursing

1 Administrator

1 Nurse Practitioner

1 Clinical Nurse Specialist

1 Dental Services Staff

2 Physical Therapy Aide

2 Respiratory Therapy Technician

3 Qualified Social Worker

1 Occupational Therapy Aide

2 Physical Therapy Assistant

1 Speech Language Pathologist

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Nurse Aide Training

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

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