All states › Missouri › Waverly › Apple Ridge Care Center
100 West Thomas Avenue Waverly, MO 64096 · Lafayette County
CMS certification number 265420 · See this home on Medicare Care Compare
Is Apple Ridge Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Apple Ridge Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.10 hours per resident per day at Apple Ridge Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.20 of those hours are from registered nurses. On weekends it falls to 2.84 hours, 8% below its all-week average. 62.2% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Apple Ridge Care Center: Medicare and Medicaid
Apple Ridge Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 11, 2024 and found 15 deficiencies, plus 9 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 42 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 42 citations at Apple Ridge Care Center across 10 inspection dates, 12 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on August 24, 2026. The most common areas cited were resident rights (11) and quality of life and care (9). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, August 24, 2026). 8 citations were under CMS's abuse, neglect and exploitation rules.
August 24, 2026 · 4 citations · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 5, 2026 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
December 30, 2025 · 2 citations · includes complaint inspection
EEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 19, 2025 · 1 citation · includes complaint inspection
EEnsure residents have reasonable access to and privacy in their use of communication methods.
July 18, 2025 · 1 citation · includes complaint inspection
EKeep residents' personal and medical records private and confidential.
September 11, 2024 · 15 citations
FProvide and implement an infection prevention and control program.
EProvide activities to meet all resident's needs.
EProvide care or services that was trauma informed and/or culturally competent.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EEducate 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure the activities program is directed by a qualified professional.
DProvide routine and 24-hour emergency dental care for each resident.
CPost nurse staffing information every day.
April 15, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 25, 2023 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
March 2, 2023 · 9 citations
EAssure the security of all personal funds of residents deposited with the facility.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to manage his or her financial affairs.
DHonor 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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
December 3, 2020 · 6 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Questions to ask on a tour of Apple Ridge Care Center
- Inspectors cited the home at the actual-harm level on August 24, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 24, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Apple Ridge Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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11.4 mi
Carroll County Memorial Hospital CarrolltonEmergency roomMedian ER visit 1h 38m for patients treated and sent home
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18.4 mi
Fitzgibbon Memorial Hospital MarshallEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 24m for patients treated and sent home
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19.2 mi
Lafayette Regional Health Center LexingtonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Circle B Enterprises nursing homes in Missouri
- Communities of Wildwood Ranch · Joplin · 5 stars
- Southgate Living Center · Caruthersville · 5 stars
- Riverways Manor · Van Buren · 5 stars
- Puxico Nursing and Rehabilitation Center · Puxico · 4 stars
- Houston House · Houston · 4 stars
- Riverview Nursing Center · Mokane · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Circle B Enterprises nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.