Apple Ridge Care Center

Name: Apple Ridge Care Center
Address: 100 WEST THOMAS AVENUE, Waverly, MO, 64096, US
Telephone: 6604932232

100 West Thomas Avenue, Waverly, MO 64096 · Lafayette County · 60 certified beds · avg 47 residents/day · certified since Apr 1, 1990

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.08

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 5, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
May 5, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 30, 2025	E · Potential for harm, repeated	The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint
Dec 30, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 19, 2025	E · Potential for harm, repeated	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint
Jul 18, 2025	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Sep 11, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 11, 2024	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Sep 11, 2024	E · Potential for harm, repeated	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 11, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 11, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Sep 11, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 11, 2024	D · Potential for harm, one-off	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Sep 11, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 15, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Oct 25, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Aug 7, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 2, 2023	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Mar 2, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 2, 2023	E · Potential for harm, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Mar 2, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to manage their own money and financial affairs.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 3, 2020	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 3, 2020	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Dec 3, 2020	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Dec 3, 2020	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Dec 3, 2020	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Dec 3, 2020	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 15).

Year	Citations	Worst severity that year
2020	6	E
2023	11	E
2024	16	F
2025	4	E
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.08	3.66	3.95	bottom 25% in Missouri; bottom 17% in the U.S.
Registered Nurse hours	0.19	0.49	0.69	bottom 8% in Missouri; bottom 2% in the U.S.
Weekend total nurse staffing	2.91	3.22	3.50	bottom 39% in Missouri; bottom 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.33	0.48	bottom 21% in Missouri; bottom 8% in the U.S.
Total nursing staff turnover (%)	62.9	56.0	45.8	bottom 33% in Missouri; bottom 12% in the U.S.
RN turnover (%)	0.0	47.8	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.74, RN 0.17, weekend 2.59. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Circle B Enterprises Holding Company INC	Organization	5% or Greater Direct Ownership Interest	100%	03/13/1996
Agh1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/02/2016
Agh1 LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/11/2025
Beaird, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Beaird, Todd	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bedell, Donald	Individual	Corporate Director	NOT APPLICABLE	03/13/1996
Bedell, Donald	Individual	Corporate Officer	NOT APPLICABLE	03/13/1996
Bedell, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	03/13/1996
Chandra, Ram	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/1994
Chandra, Ram	Individual	ADP of the SNF	NOT APPLICABLE	01/01/1994
Davis, Dana	Individual	Operational/Managerial Control	NOT APPLICABLE	02/03/2025
Davis, Dana	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2025
FG LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2016
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	08/16/2021
Mid States INC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2010
Sovereign Healthcare Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/23/2021
Sovereign Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/06/2025
Van de Ven LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How can my family member make private phone or video calls, and can we see where?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Carroll House	10.4 mi	Carrollton, MO	★★☆☆☆	2/5	abuse
Life Care Center of Carrollton	11.4 mi	Carrollton, MO	★★★☆☆	3/5
Meyer Care Center	15.0 mi	Higginsville, MO	★☆☆☆☆	1/5
Lutheran Nursing Home	15.7 mi	Concordia, MO	★★★★☆	4/5
Living Center, the	18.2 mi	Marshall, MO	★★★☆☆	3/5
Legendary Health Care Center	19.2 mi	Marshall, MO	★☆☆☆☆	1/5
Riverbend Heights Health & Rehabilitation	19.7 mi	Lexington, MO	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Waverly →

Facility data as of CMS processing date 2026-08-01. CCN 265420.

The Care File

Visit checklist — Apple Ridge Care Center

100 West Thomas Avenue, Waverly, MO 64096 · 6604932232

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How can my family member make private phone or video calls, and can we see where?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265420 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)