Federal inspection record · CMS data as of October 1, 2026
Apple Ridge Care Center
100 West Thomas Avenue, Waverly, MO · (660) 493-2232
- Cited for abuse (CMS abuse icon)
- Certified beds
- 60
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- Circle B Enterprises
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1990
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Apple Ridge Care Center carries 131 inspection points. That is fewer than 26% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights11E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Quality of Life and Care9E
- E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- E
Provide activities to meet all resident's needs.
- E
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure the activities program is directed by a qualified professional.
- D
Provide routine and 24-hour emergency dental care for each resident.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation7E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning6D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2024-09-11
24 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-03-02
10 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2020-12-03
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 6 min of nursing staff time a day, 12 min of it from a registered nurse.
This home
3 h 6 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts worse | 80.9% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 89.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5 pts worse | 9.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.9 pts better | 7.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.8 pts better | 1.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.3 pts worse | 35.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.2 pts worse | 29.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts better | 12.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts worse | 23.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.1% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts better | 13.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.9 pts worse | 40.8% | 65.7% | 82.3% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 facilities |
| Agh1 LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Agh1 LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Beaird, Todd | Corporate Officer · Individual | 0% | 37 facilities |
| Beaird, Todd | Adp Of The SNF · Individual | 0% | 37 facilities |
| Bedell, Donald | Corporate Director · Individual | 0% | 37 facilities |
| Bedell, Donald | Corporate Officer · Individual | 0% | 37 facilities |
| Bedell, Donald | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Chandra, Ram | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chandra, Ram | Adp Of The SNF · Individual | 0% | 1 facilities |
| Davis, Dana | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Davis, Dana | Adp Of The SNF · Individual | 0% | 2 facilities |
| Fg LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Mid States Inc | Adp Of The SNF · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Van De Ven LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Establish an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Provide primary/alternate means for communication.
- F
Establish staff and initial training requirements.
- F
Address subsistence needs for staff and patients.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Provide emergency officials' contact information.
Smoke6F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous5F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have proper medical gas storage and administration areas.
- F
Have proper medical gas storage and administration areas.
Egress1F
- F
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.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
-
Carroll House
Carrollton, MO · James & Judy Lincoln · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 38 min
- Fines
- $84,890
-
Life Care Center Of Carrollton
Carrollton, MO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
Meyer Care Center
Higginsville, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0