Appleton City Manor
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Appleton City, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Appleton City Manor

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Appleton City, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 64.0% Below MO avg. ▼ 64.0% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 62.4% Below MO avg. ▼ 62.4% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 60 Rank #340 / 450Bed count — State benchmarkedThis home is ranked 340th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. Rank #116 / 227Years in operation — State benchmarkedThis home is ranked 116th out of 227 homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1 year
Walk Score Info Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation. Rank #293 / 545Walk Score — State benchmarkedThis home is ranked 293rd out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
45 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #322 / 407Occupancy rate — State benchmarkedThis home is ranked 322nd out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
52% This home usually has availability
Lower than the Missouri average: 66.6%
Occupied beds
31 / 60
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
227 days

About this community

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceDecember 8, 2024
ExpirationNovember 30, 2026
CountySaint Clair
License Number052690
CMS Certification Number265843
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

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

Type Of Units

Skilled Nursing Facility
60 units
Total beds
60 units

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Salon
Activities
Three Nutritious Home-Cooked Meals Daily
Activities
Specific ProgramsTherapy Services, Hospice & Respite Care, Specialized Wound Care, Comprehensive Nursing & Rehab Programs

Contact Appleton City Manor

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2022 · 4 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 73 deficiencies 10 inspections

Inspection Scorecard Info 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 2 Worse Metrics worse than Missouri average:
• Total deficiencies (11% above)
• Deficiencies per inspection (43% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7366 This facility has 11% more total deficiencies than a typical Missouri nursing home (73 vs. MO avg 66).↑ 11% worse
Deficiencies per inspection Info Average deficiencies per inspection. 7.35.12 This facility has 43% more deficiencies per inspection than a typical Missouri nursing home (7.3 vs. MO avg 5.12).↑ 43% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1012 This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 9

State average 6.6


Last Health inspection on Jun 2025

Total health citations
61 Rank #243 / 274Health citations — State benchmarkedThis home is ranked 243rd out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
6.78 Rank #209 / 274Citations per inspection — State benchmarkedThis home is ranked 209th out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67


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
100% better than State average

State average: 0.7


Serious health citations
1
In line with State average

State average: 1

0 critical citations State average: 0.7

1 serious citation State average: 1

59 moderate citations State average: 33.6

1 minor citation State average: 1.2
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 68
Employees 54
Contractors 14
Staff to resident ratio 1.79 : 1
6% more staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 23
Average shift 7.9 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 16,710

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 7 total: 6 full-time employees and 1 contractor. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 21 CNA Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.6%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant210214,82592100%8.5
Medication Aide/Technician9093,43992100%8.8
Licensed Practical Nurse6172,37792100%9.5
Nurse Aide in Training5051,4998693%9.1
Registered Nurse50596492100%8.9
Other Dietary Services Staff3038497784%6.3
RN Director of Nursing1015296267%8.5
Administrator1015046368%8
Nurse Practitioner1014806065%8
Clinical Nurse Specialist1014685964%7.9
Dental Services Staff1014065661%7.3
Physical Therapy Aide0221276166%2
Respiratory Therapy Technician022795054%1.6
Qualified Social Worker033465560%0.8
Occupational Therapy Aide0113867%6.4
Physical Therapy Assistant022322123%1.5
Speech Language Pathologist011271516%1.8
Occupational Therapy Assistant0111444%3.5
Medical Director011667%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%

Penalties and fines

Includes penalties issued in 2024

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 Rank #229 / 276Federal fines — State benchmarkedThis home is ranked 229th out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
11% lower than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
45% more payment denials than Missouri average

Missouri 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.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 9, 2024
$65K
Payment Denial Info 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

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.4
30% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.1%
32% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.5%
20% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 33.5%
85% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 10.1%
150% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.5%
50% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.2%
92% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.2%
24% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.6%
64% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.4%
6% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 58.0%
32% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 60.0%
34% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 5.04
142% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 7.64
225% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 44.9%
33% worse than Missouri average

Missouri 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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 38
Medicare
1
2.6% of residents
Medicaid
18
47.4% of residents
Private pay or other
19
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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$183.0K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.6M Rank #240 / 251Net patient revenue — State benchmarkedThis home is ranked 240th out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$183.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$41.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #238 / 251Payroll costs — State benchmarkedThis home is ranked 238th out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$1.4M 55.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #109 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 109th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$2.8M

Who this home usually serves

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.

Admissions
60 total

Coverage residents most often arrive under.

Medicare 13%
Private pay 35%
Medicaid 52%
Discharges
72 total

Coverage residents most often leave under.

Medicare 13%
Private pay 39%
Medicaid 48%

Places of interest near Appleton City Manor

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

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Life Care Center of St Louis
NH
SNF
Saint Louis
100
Facility 100
MO AVG 96
Rank #175 / 450
90.0%
Facility 90.0%
MO AVG 66.5%
Rank #33 / 407
+35%
3.91
Facility 3.91
MO AVG 3.74
Rank #99 / 268
-8%+5%
$15.6k
Facility $15.6k
MO AVG $76.9k
Rank #186 / 276
41
Facility 41
MO AVG 36.5
Rank #184 / 274
8.2
Facility 8.2
MO AVG 5.7
Rank #243 / 274
190A+
92
Facility 92
MO AVG 46
Rank #23 / 545
Joanna Crooks
$8.9MFiscal year ending 02/2024
Facility $8.9MFiscal year ending 02/2024
MO AVG $7.4M
Rank #62 / 251
$5.8MFiscal year ending 02/2024
Facility $5.8MFiscal year ending 02/2024
MO AVG $3.9M
Rank #36 / 251
65.9%Fiscal year ending 02/2024
Facility 65.9%Fiscal year ending 02/2024
MO AVG 54.9%
Rank #40 / 251
265610
Life Care Center of Waynesville
NH
MC
SNF
Waynesville
120
Facility 120
MO AVG 96
Rank #87 / 450
63.3%
Facility 63.3%
MO AVG 66.5%
Rank #240 / 407
-5%
3.87
Facility 3.87
MO AVG 3.74
Rank #99 / 268
+12%+4%
$22.1k
Facility $22.1k
MO AVG $76.9k
Rank #194 / 276
31
Facility 31
MO AVG 36.5
Rank #141 / 274
5.2
Facility 5.2
MO AVG 5.7
Rank #136 / 274
176A+
51
Facility 51
MO AVG 46
Rank #240 / 545
Kimberly Coyne
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #114 / 251
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #76 / 251
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #27 / 251
265373
The Manor
NH
MC
SNF
Poplar Bluff
90
Facility 90
MO AVG 96
Rank #225 / 450
77.8%
Facility 77.8%
MO AVG 66.5%
Rank #127 / 407
+17%
3.69
Facility 3.69
MO AVG 3.74
Rank #129 / 268
+61%-1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
8.7
Facility 8.7
MO AVG 5.7
Rank #253 / 274
-70A+
67
Facility 67
MO AVG 46
Rank #102 / 545
Tammy Loughary
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #174 / 251
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #190 / 251
47.4%Fiscal year ending 12/2023
Facility 47.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #187 / 251
265442
Lakeview Post Acute
NH
HOS
SNF
Florissant (Old Town Florissant)
120
Facility 120
MO AVG 96
Rank #87 / 450
79.2%
Facility 79.2%
MO AVG 66.5%
Rank #114 / 407
+19%
3.58
Facility 3.58
MO AVG 3.74
Rank #140 / 268
-48%-4%
$194.5k
Facility $194.5k
MO AVG $76.9k
Rank #265 / 276
93
Facility 93
MO AVG 36.5
Rank #268 / 274
5.5
Facility 5.5
MO AVG 5.7
Rank #157 / 274
795A+
63
Facility 63
MO AVG 46
Rank #141 / 545
Kalvin Stewart$8.1M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$5.7M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.70%*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265838
Appleton City Manor
NH
HOS
MC
RC
SNF
Appleton City
60
Facility 60
MO AVG 96
Rank #340 / 450
51.7%
Facility 51.7%
MO AVG 66.5%
Rank #322 / 407
-22%- -4%-
$65.3k
Facility $65.3k
MO AVG $76.9k
Rank #229 / 276
61
Facility 61
MO AVG 36.5
Rank #243 / 274
6.8
Facility 6.8
MO AVG 5.7
Rank #209 / 274
131-
45
Facility 45
MO AVG 46
Rank #293 / 545
Glen Reed
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #240 / 251
$1.4MFiscal year ending 12/2023
Facility $1.4MFiscal year ending 12/2023
MO AVG $3.9M
Rank #238 / 251
55.2%Fiscal year ending 12/2023
Facility 55.2%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #109 / 251
265843

Frequently Asked Questions about Appleton City Manor

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%.

How long has Appleton City Manor been in business?

Appleton City Manor has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Appleton City Manor?

No, Appleton City Manor has a no-pet policy.

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

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

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