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Apple Ridge Care Center

⌖ Waverly, MO · Lafayette County
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Medicare overall rating 1 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Apple Ridge Care Center

Apple Ridge Care Center is a 60-bed for-profit nursing home in Waverly, MO. Medicare rates it 1 out of 5 stars overall (much below average); the average in Missouri is 2.5. At its last full inspection (Sep 2024), inspectors found 20 problems, more than the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 45 min a day with each resident, less than the Missouri average of 3 hr 26 min. About 63% of its nursing staff left in the past year. It has had no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameApple Ridge Care Center
LocationLafayette County, Missouri
Address100 West Thomas Avenue, Waverly, MO 64096 · Lafayette County
CMS provider number265420
Ownership typeFor-profit (corporation)
Operating companyCircle B Enterprises · 36 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 1990 (36 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections2 of 5Below average
Quality measures2 of 5Below average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Sep 2024.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Nursing staff turnover63% a yearMissouri average: 56%
    About average

Things to ask about

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  • Health citations at last inspection20 (Sep 2024)Missouri average: 11.4. Most citations are minor and corrected within weeks.
    Worse than state average
  • Nurse staffing per resident2 hr 45 min a dayMissouri average: 3 hr 26 min
    Worse than state average
  • Registered nurse time per resident10 min a dayMissouri average: 28 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury10.9%State average: 4.1%
    Worse than average
  • Pressure sores (bedsores)0.0%State average: 4.5%
    Better than average
  • Given antipsychotic drugs32.0%State average: 23.5%
    Worse than average
  • Hospital stays per 1,000 resident days3.5State average: 2.1
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.

  • 92% Medicaid
  • 2% Medicare
  • 6% Private pay, insurance and other
Beds in use, on average66%Missouri typical: 71%
Cost of care per resident day$221Missouri typical: $254

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 12 times.

Overall rating1★
Health inspections2★
Staffing1★
Quality of care2★
Nurse hours per resident per day2.7
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201953453.3
Jan 202033333.1
Jan 202143433.4
Jan 202233343.2
Jan 202333223.0
Jan 202412313.3
Feb 20251211–
Feb 202612122.6
Sep 202612122.7

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

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