Nursing homeFAID #7413
Appleton City Manor
600 NORTH OHIO, APPLETON CITY, MO, 64724
(660) 476-2128
60 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
60
State license
052690
CMS facility ID
265843
Care type
Nursing home
Facility name
Appleton City Manor
Street address
600 NORTH OHIO
City / state / ZIP
Appleton City, MO 64724
Phone
(660) 476-2128
State license #
052690
About this facility — Appleton City Manor
Appleton City Manor is a Medicare/Medicaid-certified skilled nursing facility in Appleton City, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).
It is one of 2 senior care facilities in Appleton City and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Appleton City Manor 88 times across 15 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $92,020 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
Appleton City Manor, Llc
Ownership type
For profit - Limited Liability company
Administrator
Delma Hearting
Registered owners & officers
Morton, Wayne
Partner — since 1994
Reed, Glen
Partner — since 1994
Reed, Marcus
Partner — since 1994
Scott, Janet
Managing employee · Director — since 2009
Regulatory standing
Federal court records
1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2012-10-01
License expires
2026-11-30
CMS overall rating
1 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$92,020 total
Last standard inspection
2025-06-27
Cost & payer profile (FY2023 cost report)
Average billed charges
$135 per day (≈ $4,100/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
37% Medicaid · 1% Medicare · 62% private/other
Occupancy
63% (fiscal year 2023)
Vs. state median
47% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
60
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-27Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2026-02-28
2025-11-18Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-09
12 earlier / fire-safety inspections (86 citations)
2025-06-27Health inspection4 citations
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-08-10
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-10
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-08-10
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-10
2024-11-20Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-27
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-27
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-12-27
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-12-27
2024-11-13Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-27
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
2024-10-17Health inspectionComplaint-triggered3 citations
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-12-09
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-09
F-0727
F · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-12-09
2024-09-09Health inspectionComplaint-triggered28 citations
F-0607
E · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-23
F-0625
E · No harm foundFrom a complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-02-07
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-02-07
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-02-07
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-02-07
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-10
F-0678
E · No harm found
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-12-10
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-23
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-27
F-0688
D · No harm foundFrom a complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-10-23
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-10-23
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-23
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-23
F-0727
F · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-12-10
F-0728
F · No harm foundFrom a complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-12-10
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2024-10-23
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-23
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-07
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-12-10
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-12-10
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-07
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-07
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-12-10
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-12-10
F-0868
F · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-12-10
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-10-23
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-10-23
2024-04-12Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-24
F-0758
D · No harm foundFrom a complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-05-24
2024-02-28Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-05
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-24
F-0758
D · No harm foundFrom a complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-05-24
2023-11-09Health inspectionComplaint-triggered3 citations
F-0727
F · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-12-22
F-0728
F · No harm foundFrom a complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2023-12-22
F-0730
F · No harm foundFrom a complaint
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-22
2022-08-22Health inspection10 citations
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-10-04
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-10-04
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-10-04
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-10-04
F-0728
E · No harm found
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2022-10-04
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-10-04
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2022-10-04
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-04
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-10-04
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-10-04
2025-06-27Fire-safety inspection3 citations
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-08-01
K-0374
F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-08-01
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-08-10
2024-09-09Fire-safety inspection15 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-25
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-01-03
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-08
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-01-02
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-18
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-12-18
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-13
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-11-08
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-08
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-02
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-10-23
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-25
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-10-23
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-23
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-09
2022-08-22Fire-safety inspection7 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-04
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-10-04
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-04
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-10-04
K-0912
E · No harm found
Have power receptacles that are properly grounded.
Corrected 2022-10-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-04
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2022-10-04
Federal penalties
2026-02-27Fine$26,685
2024-09-09Fine$65,335
2024-09-09Medicare payment denial — 83 days
Total fines$92,020
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265843.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered