Quick answers
- Where is Apple Ridge Care Center?
- 100 West Thomas Avenue, Waverly, MO 64096, in Lafayette County, Missouri.
- What is the phone number of Apple Ridge Care Center?
- (660) 493-2232, as listed by Medicare (CMS).
- What is the Medicare star rating of Apple Ridge Care Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Apple Ridge Care Center been fined?
- Medicare lists no fines for Apple Ridge Care Center.
- What did inspectors find at Apple Ridge Care Center?
- In its last three inspection cycles (December 3, 2020 to August 24, 2026), Medicare lists 42 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 3, 2020 to August 24, 2026), Apple Ridge Care Center had 42 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.10 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 11, 2024 — 24 health citations
Inspections in this cycle: September 11, 2024 (standard health inspection); December 19, 2025 (complaint investigation); December 30, 2025 (complaint investigation); May 5, 2026 (complaint investigation); August 24, 2026 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 23 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0741 Level E
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0741 Level E
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0576 Level E
“Ensure residents have reasonable access to and privacy in their use of communication methods.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0699 Level E
“Provide care or services that was trauma informed and/or culturally competent.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level E
“Educate 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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0680 Level D
“Ensure the activities program is directed by a qualified professional.”
F0790 Level D
“Provide routine and 24-hour emergency dental care for each resident.”
F0732 Level C
“Post nurse staffing information every day.”
Previous cycle: March 2, 2023 — 10 health citations
Inspections in this cycle: March 2, 2023 (standard health inspection); July 18, 2025 (complaint investigation).
Show 10 citations (levels A to F, no actual harm)
F0583 Level E
“Keep residents' personal and medical records private and confidential.”
F0570 Level E
“Assure the security of all personal funds of residents deposited with the facility.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0678 Level E
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0567 Level D
“Honor the resident's right to manage his or her financial affairs.”
F0578 Level D
“Honor 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.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: December 3, 2020 — 8 health citations
Inspections in this cycle: December 3, 2020 (standard health inspection); October 25, 2023 (complaint investigation); April 15, 2024 (complaint investigation).
Show 8 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0569 Level D
“Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (24)
E0001 Level F
“Establish an Emergency Preparedness Program (EP).”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0032 Level F
“Provide primary/alternate means for communication.”
E0037 Level F
“Establish staff and initial training requirements.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0711 Level F
“Provide a written emergency evacuation plan.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0015 Level F
“Address subsistence needs for staff and patients.”
K0346 Level F
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
E0031 Level F
“Provide emergency officials' contact information.”
K0161 Level E
“Use approved construction type or materials.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.20 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.75 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.16 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.10 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.84 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.19 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 62.2% | 56.9% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 36 nursing homes: Circle B Enterprises.
Legal business name: Waverly 1 Inc.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | Direct owner | 100% | March 13, 1996 |
| AGH1 LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 2, 2016 |
| Sovereign Healthcare Group LLC | Management company (operational or managerial control) | NOT APPLICABLE | April 23, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 60 |
| Average residents per day | 45.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Circle B Enterprises |
| Legal business name | Waverly 1 Inc |
| First approved by Medicare/Medicaid | 1990-04-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 100 West Thomas Avenue, Waverly, MO 64096 |
| County | Lafayette County |
| State | Missouri |
| Phone | (660) 493‑2232 |
| CMS Certification Number | 265420 |
| Name in Medicare records | APPLE RIDGE CARE CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Carroll House10 mi · Carrollton, MO · 2 of 5 stars
- Life Care Center of Carrollton11 mi · Carrollton, MO · 4 of 5 stars
- Meyer Care Center15 mi · Higginsville, MO · 2 of 5 stars
- Lutheran Nursing Home16 mi · Concordia, MO · 4 of 5 stars
- The Living Center18 mi · Marshall, MO · 3 of 5 stars
Nearest hospital emergency rooms
- Carroll County Memorial Hospital11 mi · Carrollton, MO · Critical Access Hospital
- Lafayette Regional Health Center17 mi · Lexington, MO · Critical Access Hospital
- Fitzgibbon Hospital18 mi · Marshall, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13