
Report
TheVardellReport
Appleton City Manor
Skilled nursing facility and nursing facility
600 North Ohio
Appleton City, MO 64724

TheVardellReport
Skilled nursing facility and nursing facility
600 North Ohio
Appleton City, MO 64724
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 11 inspections from August 2022 to February 2026, state surveyors documented 63 findings at Appleton City Manor; 63 have a recorded correction; CMS lists 3 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2022 | 1 | 10 | 0 |
| 2023 | 1 | 3 | 0 |
| 2024 | 6 | 44 | 1 |
| 2025 | 2 | 5 | 0 |
| 2026 | 1 | 1 | 1 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Enforcement Action
Civil money penalty, $17,345 imposed February 27, 2026. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of June 27, 2025, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
28 findings
The same visit included a complaint investigation.
Enforcement Action
Civil money penalty, $65,335 imposed September 9, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 9, 2024, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed September 9, 2024. Status: Closed, February 7, 2025. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 9, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
10 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F727 in August 2022, November 2023, September 2024 and October 2024. The agency describes it this way: 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. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F880 in August 2022, September 2024, November 2024 and June 2025. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in October 2024, November 2024 and November 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F728 in August 2022, November 2023 and September 2024. The agency describes it this way: 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. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F757 in February 2024, April 2024 and June 2025. The agency describes it this way: Ensure each resident’s drug regimen must be free from unnecessary drugs. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F758 in February 2024, April 2024 and September 2024. This citation covers how psychotropic drugs are used, including dose reductions and limits on as-needed orders. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F550 in February 2024 and April 2024. This citation covers residents’ right to dignity, to make their own choices and to communicate. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F607 in August 2022 and September 2024. The agency describes it this way: Develop and implement policies and procedures to prevent abuse, neglect, and theft. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F609 in February 2024 and November 2024. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F625 in August 2022 and September 2024. The agency describes it this way: 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. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F678 in September 2024 and February 2026. The agency describes it this way: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F686 in September 2024 and November 2024. This citation covers how the home prevents and treats pressure injuries (bedsores). None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F760 in August 2022 and June 2025. This citation covers whether residents are free from significant medication errors. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F812 in August 2022 and September 2024. This citation covers how food is stored, prepared and served. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
What changed after F727 was cited, and how do you check it now?
Citation F727: cited in four inspections, most seriously at level F.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in four inspections, most seriously at level F.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in three inspections, most seriously at level D.
What changed after F728 was cited, and how do you check it now?
Citation F728: cited in three inspections, most seriously at level F.
What changed after F757 was cited, and how do you check it now?
Citation F757: cited in three inspections, most seriously at level D.
How many residents take psychotropic medications, and how often are doses reviewed for reduction?
Psychotropic Medications: cited in three inspections, most seriously at level D.
How do staff learn each resident’s preferences, and how is a complaint about dignity handled?
Dignity and Resident Rights: cited in two inspections, most seriously at level D.
What changed after F607 was cited, and how do you check it now?
Citation F607: cited in two inspections, most seriously at level E.
How are staff trained to report suspected abuse or neglect, and who reports it to the state?
Reporting Suspected Abuse: cited in two inspections, most seriously at level D.
What changed after F625 was cited, and how do you check it now?
Citation F625: cited in two inspections, most seriously at level E.
What changed after F678 was cited, and how do you check it now?
Citation F678: cited in two inspections, most seriously at level J.
How often are residents checked for pressure injuries and repositioned, and who is responsible for it?
Pressure Injury Care: cited in two inspections, most seriously at level D.
What happened after the medication error citation, and how are high-risk drugs double-checked?
Significant Medication Errors: cited in two inspections, most seriously at level D.
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in two inspections, most seriously at level F.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2026 fine, and has it been paid?
A $17,345 civil money penalty was imposed February 27, 2026. CMS publishes the fine, not whether it has been paid. The record holds three enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Missouri state survey agency.
Missouri state survey agency
Inspection Aug 22, 2022 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Nov 9, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Feb 28, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Apr 12, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Sep 9, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Oct 17, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Nov 13, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Nov 20, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Jun 27, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Nov 18, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Missouri state survey agency
Inspection Feb 27, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 265843
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowAugust 22, 2022 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.