Nursing homeActive
Apple Ridge Care Center
100 West Thomas Avenue, Waverly, MO 64096660493223260 certified beds · 47 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2020
Deficiencies
39
● 1● 38● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-05
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-05 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-30 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-11 | Standard | 1140 | CMS-2567 (Care Compare) | — |
| 2024-04-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-03-02 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2020-12-03 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-10Record 265420-20260505-F550
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-10Record 265420-20260505-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265420-20251230-F600
F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Scope/severity EStandard
Care planningStaffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265420-20251230-F741
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265420-20251219-F576
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 265420-20250718-F583
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F625
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F636
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F638
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F656
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F679
F680Ensure the activities program is directed by a qualified professional.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F680
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F699
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F755
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F790
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F883
F887Educate 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.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 265420-20240911-F887
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-10-18Record 265420-20240911-F732
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 265420-20240415-F600
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-16Record 265420-20231025-F550
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-31Record 265420-20230807-F600
F567Honor the resident's right to manage his or her financial affairs.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F567
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F570
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F578
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F607
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F645
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F678
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-06Record 265420-20230302-F880
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-01-08Record 265420-20201203-F569
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-01-08Record 265420-20201203-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-01-08Record 265420-20201203-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-01-08Record 265420-20201203-F609
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-01-08Record 265420-20201203-F644
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-01-08Record 265420-20201203-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.17
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day2.74
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.59
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover63%
Facility
Missouri
National
Missouri 56% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 10.9% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.0% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.1% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.7% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 37.7% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Circle B Enterprises Holding Company Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Agh1 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chandra, Ram Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Davis, Dana Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Agh1 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Chandra, Ram Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Davis, Dana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mid States Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Van De Ven LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Circle B Enterprises — 36 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Lafayette.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Carroll House Carrollton | 10.4 mi | 2025-07-14 | 0141 |
| Life Care Center Of Carrollton Carrollton | 11.4 mi | 2026-04-02 | 0260 |
| Lutheran Nursing Home Concordia | 15.7 mi | 2026-04-09 | 0180 |
| Meyer Care Center Higginsville | 15.0 mi | 2026-02-17 | 0221 |
| Living Center, The Marshall | 18.2 mi | 2025-07-09 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |