Apple Ridge Care Center
100 West Thomas Avenue · Waverly, MO · 64096 · 6604932232
60 certified beds For profit - Corporation Chain: Circle B Enterprises
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.68 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 2.52 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D December 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 30, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · E December 19, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected February 3, 2026 · Resident Rights
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Potential for harm · E July 18, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D September 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 18, 2024 · Resident Rights
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Potential for harm · D September 11, 2024
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 October 18, 2024 · Resident Rights
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Potential for harm · D September 11, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2024
Ensure each resident receives an accurate assessment.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 11, 2024
Provide activities to meet all resident's needs.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D September 11, 2024
Ensure the activities program is directed by a qualified professional.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · E September 11, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · E September 11, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 18, 2024 · Pharmacy Service
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Potential for harm · D September 11, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · F September 11, 2024
Provide and implement an infection prevention and control program.
Corrected October 18, 2024 · Infection Control
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Potential for harm · E September 11, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 18, 2024 · Infection Control
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Potential for harm · E September 11, 2024
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.
Corrected October 18, 2024 · Infection Control
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No harm found · C September 11, 2024
Post nurse staffing information every day.
Corrected October 18, 2024 · Nursing and Physician Services
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Potential for harm · D April 15, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 25, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 16, 2023 · Resident Rights
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Potential for harm · D August 7, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 2, 2023
Honor the resident's right to manage his or her financial affairs.
Corrected April 6, 2023 · Resident Rights
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Potential for harm · E March 2, 2023
Assure the security of all personal funds of residents deposited with the facility.
Corrected April 6, 2023 · Resident Rights
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Potential for harm · D March 2, 2023
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.
Corrected April 6, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265420 · certified since April 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.