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D

47.5/100

Below average

Appleton City Manor

600 North Ohio, Appleton City, MO 64724

CMS 1/5 stars #2 of 2 in St. Clair County (660) 476-2128
Certified beds
60
Occupancy
61%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $82,680 in federal fines

    CMS has fined this facility across 2 penalty action(s).

Our read on Appleton City Manor

Appleton City Manor sits at 60 certified beds under for-profit LLC ownership, and every CMS star category comes back at one out of five, health inspections, quality measures, and staffing alike. The deficiency record tells the story behind those numbers: 63 total, including two at the harm or jeopardy level and four tied to abuse. Two fines totaling $92,020 are on file. Staffing falls short of what CMS expects for a home this size, which matters most when residents need hands-on help. The last inspection was June 27, 2025, so the record is current. Families considering this home should ask directly about the abuse-related findings and what's changed since that inspection.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing8/30Stability7.5/15Outcomes2/15Enforcement0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →1.7 total nurse hours per resident per day (national median 3.77)
  • →0.2 RN hours per resident per day
  • →Weekend staffing drops 14% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →No turnover figure reported, scored neutral

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →1 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$82,680 in federal fines across 2 action(s)
  • →-2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day1.37 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.20 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours1.18 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnoverNot reported

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 27, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Appleton City Manor

What is the ElderGrade for Appleton City Manor? +

Appleton City Manor holds an ElderGrade of D (47.5 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Appleton City Manor? +

Residents receive an average of 1.37 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Appleton City Manor been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Appleton City Manor accept Medicaid? +

Yes, Appleton City Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.