5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Appleton City, MO
1-star overall rating with 2-star inspections with $65,335 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
600 North Ohio, Appleton City, MO
(660) 476-2128
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
28
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.59
Registered nurse staffing
LPN hours / resident day
1.00
Licensed practical nurse staffing
Aide hours / resident day
3.56
Nurse aide staffing
Weekend hours
4.59
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 5.0 |
2.1
2.9 pts worse
|
1.9
3.1 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 7.6 |
2.3
5.3 pts worse
|
1.8
5.8 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.4% |
84.8%
13.4 pts worse
|
93.4%
22 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 60.0% |
90.9%
30.9 pts worse
|
95.5%
35.5 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.6% |
4.1%
4.5 pts worse
|
3.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 5.3% |
14.7%
9.4 pts better
|
11.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.6% |
5.5%
0.9 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.1% |
25.3%
6.2 pts better
|
19.6%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 34.1% |
25.0%
9.1 pts worse
|
16.7%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.2% |
20.3%
0.9 pts worse
|
16.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 34.4% |
19.8%
14.6 pts worse
|
14.9%
19.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.3% |
1.4%
3.9 pts worse
|
1.0%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 5.9% |
2.6%
3.3 pts worse
|
1.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.2% |
18.1%
13.1 pts worse
|
19.8%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
5.0%
1.7 pts worse
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.8% |
66.4%
15.6 pts worse
|
81.7%
30.9 pts worse
|
Short Stay · 2024Q4-2025Q3 |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (12 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nursing and Physician Services (5 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-08-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-08-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-10
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-01-03
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-25
Fire Safety
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
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-02
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-23
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-04
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-10-04
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-10-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-04
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-09
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-08-10
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-27
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-12-27
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-12-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-27
Health
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
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-12-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-23
Health
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
Health
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
Health
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
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-07
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-12-10
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-12-10
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-12-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-23
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-10-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-23
Health
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
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-02-07
Health
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
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-23
Health
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
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-02-07
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-02-07
Health
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
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-27
Health
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
Health
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
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-23
Health
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
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-07
Health
Post nurse staffing information every day.
Corrected 2024-10-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-24
Health
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-05
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-24
Health
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
Health
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
Health
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
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-22
Health
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
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-04
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-04
Health
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
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-10-04
Health
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
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-10-04
Health
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
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-10-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-10-04
Penalties and ownership
Fine · fine $65,335
Fine
Payment Denial · denial start 2024-11-16 · 83 days
83 day denial
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
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