Skilled nursing facility · CMS certification number 265843
APPLETON CITY MANOR
APPLETON CITY, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,518,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$12,488 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,531,163 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,179,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$647,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$450,266 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$450,266 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 30,744 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 104 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,131 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,530 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 16 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 48 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 269.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434634, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,604,673 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$4,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,608,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,791,770 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$182,955 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$141,850 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$141,850 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 268.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390563, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,057,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,486 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,059,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,248,700 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$189,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$148,365 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$148,365 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,053.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 333.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359089, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,713,382 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$24,416 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,737,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,865,789 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$127,991 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $243,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $115,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $115,993 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,660 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 429.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 238.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327940, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 June 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,609,892 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,607,821 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,869,601 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$261,780 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $409,109 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $147,329 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $147,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,845 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 781.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 305.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287481, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,854,643 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $42,234 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,812,409 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,795,583 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $16,826 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,289 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $53,115 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $53,115 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 692 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 332.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256423, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,003,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $67,570 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,935,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,809,055 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $126,657 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,238 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 720.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 424 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1228468, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,916,641 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $87,087 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,829,554 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,647,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $182,415 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,673 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $214,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $214,088 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 644.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 404.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1191605, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,970,830 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $92,308 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,878,522 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,792,604 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $85,918 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $118,386 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $118,386 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 397.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 302.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156967, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,065,032 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $81,262 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,983,770 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,881,022 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $102,748 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,510 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $130,258 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $130,258 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,888 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 422.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 309.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138890, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,060,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $23,145 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,036,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,892,075 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $144,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $172,484 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $172,484 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,441 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 294.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104122, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,784,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$20,910 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,805,253 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,706,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $99,046 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,995 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $125,041 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $125,041 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 582.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 368.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074928, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 October 2012 to 31 December 2012 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $429,210 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $428,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $450,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$22,244 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,003 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$16,241 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$16,241 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,724 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 7 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 11.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,297 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 674.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1032158, read from the public cost report file SNF10FY2013.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| SCOTT, JANET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| MORTON, WAYNE | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/25/1994 |
| REED, GLEN | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/25/1994 |
| REED, MARCUS | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/25/1994 |
| SCOTT, JANET | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/08/2009 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of APPLETON CITY MANOR LLC (enrollment ID O20120702000308).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JANET L SCOTT | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GLEN H REED | Individual | LIMITED PARTNERSHIP INTEREST | 33.33 | 1/25/1994 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARCUS G REED | Individual | LIMITED PARTNERSHIP INTEREST | 33.33 | 1/25/1994 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WAYNE L MORTON | Individual | LIMITED PARTNERSHIP INTEREST | 33.33 | 1/25/1994 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JANET L SCOTT | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/8/2009 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 April 2024: CHARLES L CONWAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: CHARLES L CONWAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: JANET L SCOTT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
Recent changes on this record
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 30 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 April 2024: CHARLES L CONWAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: CHARLES L CONWAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: JANET L SCOTT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 18 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 26 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 25 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 29 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 13 June 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 5 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 10 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 29 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 4 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 5 June 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2013.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 27 June 2025 | 27 June 2025 | 6 | 3 |
| 2 | 9 September 2024 | 9 September 2024 | 37 | 15 |
| 3 | 22 August 2022 | 22 August 2022 | 20 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
63 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 27 February 2026 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Yes | Deficient, Provider has date of correction | 28 February 2026 |
| 18 November 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 9 December 2025 |
| 27 June 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | 10 August 2025 |
| 27 June 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 10 August 2025 |
| 27 June 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 10 August 2025 |
| 27 June 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 10 August 2025 |
| 20 November 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 27 December 2024 |
| 20 November 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 27 December 2024 |
| 20 November 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 27 December 2024 |
| 20 November 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Yes | Deficient, Provider has date of correction | 27 December 2024 |
| 13 November 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 27 December 2024 |
| 13 November 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 17 October 2024 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | E | Yes | Deficient, Provider has date of correction | 9 December 2024 |
| 17 October 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 9 December 2024 |
| 17 October 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | 9 December 2024 |
| 9 September 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Yes | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0625 | Resident Rights Deficiencies | 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. | E | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | No | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 9 September 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0728 | Nursing and Physician Services Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | 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. | F | No | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | 10 December 2024 |
| 9 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 9 September 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | 23 October 2024 |
| 9 September 2024 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | 23 October 2024 |
| 12 April 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 24 May 2024 |
| 12 April 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | 24 May 2024 |
| 12 April 2024 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | 24 May 2024 |
| 28 February 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 24 May 2024 |
| 28 February 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 5 April 2024 |
| 28 February 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | 24 May 2024 |
| 28 February 2024 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | 24 May 2024 |
| 9 November 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | 22 December 2023 |
| 9 November 2023 | Health | F 0728 | Nursing and Physician Services Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | 22 December 2023 |
| 9 November 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | F | Yes | Deficient, Provider has date of correction | 22 December 2023 |
| 22 August 2022 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0625 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0728 | Nursing and Physician Services Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 4 October 2022 |
| 22 August 2022 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | No | Deficient, Provider has date of correction | 4 October 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 27 February 2026 | Fine | $26,685 | 139401 | ||
| 9 September 2024 | Fine | $65,335 | 90508 | ||
| 9 September 2024 | Payment Denial | 16 November 2024 | 83 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | APPLETON CITY MANOR LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | St. Clair |
| Telephone Number | 6604762128 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 36.7 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for APPLETON CITY MANOR
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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