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Lafayette County, Missouri · Nursing home

Apple Ridge Care Center

1 of 5 overall from CMS

100 West Thomas Avenue, Waverly, MO 64096

Call (660) 493-2232Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Apple Ridge Care Center is a 60-bed nursing home in Waverly, Missouri (Lafayette County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.74 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists no fines in the past three years.

Certified beds
60
Residents per day (average)
47.4
Certified since
1990 (36 yrs)

For profit - Corporation Participates in Medicare and MedicaidPart of Circle B Enterprises (36 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Apple Ridge Care Center

Chosen from this home's public data.

  1. CMS counts 20 health deficiencies in the latest inspection cycle (the standard inspection on Sep 11, 2024 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
  2. Nursing staff turnover is 62.9%, above the Missouri average of 56.0%. How often would the same aides care for my relative?Turnover in CMS data
  3. Registered nurse time is 0.17 hours per resident per day; the Missouri average is 0.46. Is an RN on site overnight?RN staffing in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeMissouriU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 22.1% 18.1% 13.9%
Percentage of long-stay residents who lose too much weight 2.7% 5.3% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0% 1.1% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.6% 2.3% 1.6%
Percentage of long-stay residents who have depressive symptoms 4.2% 18.5% 12.8%
Percentage of long-stay residents who were physically restrained 0.0% 0.0% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 10.9% 4.1% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.0% 84.1% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 14.3% 17.4% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.7% 25.6% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.3% 90.9% 95.5%
★ Percentage of long-stay residents with pressure ulcers 0.0% 4.5% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.0% 17.8% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 32.0% 23.5% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days 3.48 2.11 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days 2.37 2.33 1.78

Short-stay residents

MeasureThis homeMissouriU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 40.0% 65.7% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication Too few residents or stays to report 2.2% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Too few residents or stays to report 63.5% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission Too few residents or stays to report 26.0% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit Too few residents or stays to report 13.7% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 38 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 8 were cited in connection with a complaint investigation.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Sep 11, 20242011
Mar 2, 20231010
Dec 3, 202083

Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (38)

  1. DPotential for more than minimal harm, isolated

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 10, 2026)

  2. DPotential for more than minimal harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2026)

  3. EPotential for more than minimal harm, pattern

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 3, 2026)

  4. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 3, 2026)

  5. EPotential for more than minimal harm, pattern

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 3, 2026)

Show 25 more

  1. EPotential for more than minimal harm, pattern

    Keep residents' personal and medical records private and confidential.

    Complaint investigation · Resident Rights · Past Non-Compliance (May 30, 2025)

  2. FPotential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Oct 18, 2024)

  3. EPotential for more than minimal harm, pattern

    Provide activities to meet all resident's needs.

    Quality of Life and Care · Deficient, Provider has date of correction (Oct 18, 2024)

  4. EPotential for more than minimal harm, pattern

    Provide care or services that was trauma informed and/or culturally competent.

    Quality of Life and Care · Deficient, Provider has date of correction (Oct 18, 2024)

  5. EPotential for more than minimal harm, pattern

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service · Deficient, Provider has date of correction (Oct 18, 2024)

  6. EPotential for more than minimal harm, pattern

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Infection Control · Deficient, Provider has date of correction (Oct 18, 2024)

  7. EPotential for more than minimal harm, pattern

    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.

    Infection Control · Deficient, Provider has date of correction (Oct 18, 2024)

  8. DPotential for more than minimal harm, isolated

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Resident Rights · Deficient, Provider has date of correction (Oct 18, 2024)

  9. DPotential for more than minimal harm, isolated

    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.

    Resident Rights · Deficient, Provider has date of correction (Oct 18, 2024)

  10. DPotential for more than minimal harm, isolated

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)

  11. DPotential for more than minimal harm, isolated

    Assure that each resident’s assessment is updated at least once every 3 months.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)

  12. DPotential for more than minimal harm, isolated

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)

  13. DPotential for more than minimal harm, isolated

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)

  14. DPotential for more than minimal harm, isolated

    Ensure the activities program is directed by a qualified professional.

    Quality of Life and Care · Deficient, Provider has date of correction (Oct 18, 2024)

  15. DPotential for more than minimal harm, isolated

    Provide routine and 24-hour emergency dental care for each resident.

    Quality of Life and Care · Deficient, Provider has date of correction (Oct 18, 2024)

  16. CPotential for minimal harm, widespread

    Post nurse staffing information every day.

    Nursing and Physician Services · Deficient, Provider has date of correction (Oct 18, 2024)

  17. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Apr 8, 2024)

  18. DPotential for more than minimal harm, isolated

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Complaint investigation · Resident Rights · Past Non-Compliance (Oct 16, 2023)

  19. EPotential for more than minimal harm, pattern

    Assure the security of all personal funds of residents deposited with the facility.

    Resident Rights · Deficient, Provider has date of correction (Apr 6, 2023)

  20. EPotential for more than minimal harm, pattern

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 6, 2023)

  21. EPotential for more than minimal harm, pattern

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Quality of Life and Care · Deficient, Provider has date of correction (Apr 6, 2023)

  22. EPotential for more than minimal harm, pattern

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Apr 6, 2023)

  23. DPotential for more than minimal harm, isolated

    Honor the resident's right to manage his or her financial affairs.

    Resident Rights · Deficient, Provider has date of correction (Apr 6, 2023)

  24. DPotential for more than minimal harm, isolated

    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.

    Resident Rights · Deficient, Provider has date of correction (Apr 6, 2023)

  25. DPotential for more than minimal harm, isolated

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 6, 2023)

Showing the 30 most recent of 38.

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

CMS lists no fines or payment denials for this home in the past three years.

Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Missouri

Common questions

What is the CMS star rating for Apple Ridge Care Center?

Apple Ridge Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 2.

How many beds does Apple Ridge Care Center have?

Apple Ridge Care Center has 60 certified beds. It averages 47.4 residents per day, about 79.0% of its certified beds.

How much nursing care do residents get at Apple Ridge Care Center?

The home reports 2.74 hours of nurse staffing per resident per day, including 0.17 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.

Has Apple Ridge Care Center been fined?

CMS lists no fines for this home in the past three years.

Does Apple Ridge Care Center accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lafayette County

Who to call in Missouri

These offices serve residents of every nursing home in Missouri.

Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (660) 493-2232 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265420. See this home's official record on Medicare.gov

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