Appleton City Manor
APPLETON CITY MANOR in APPLETON CITY, MO — inspection on February 27, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on [DATE], at 12:52 P.M., the Medical Director said the following:-If a resident was found unresponsive staff on duty should report to the DON, Administrator, and NP, and call 911;-He expected staff to check a resident's code status to determine whether to perform CPR or if they had a DNR code status;-He expected a resident's code status to match throughout the medical record;-Facility staff should initiate CPR if a resident is a full code status immediately due to time matters;-If the resident was a full code status, staff should have initiated CPR.
During an interview on [DATE], at 4:30 P.M., the Administrator said the following:-Staff were to check resident code status using the emergency binder and the nurses' station;-Social services updates code status on admission and any licensed staff can update or make changes after that;-The resident had DNR listed on the front page of his/her face sheet and the second page indicated CPR;-The resident's physician orders showed the resident was CPR;-Staff did not start CPR on the resident;-She and RN E did not perform CPR because the resident's face sheet showed a DNR code status and did not question it;-She did not find a signed uploaded DNR for the resident in the electronic medical record;-The resident's representative initialed a health care directive form stating did not wish to make one at this time which defaults to a full code status;-He/she called the NP who was on their way to the facility when this happened;-He/she did not question the code statuses on the face sheet;-He/she expected all code statues on face sheets to match the resident's actual code status;-She expected a resident's code status to match throughout the medical record;-The resident was a full code when he/she passed away;-Staff were to start CPR when a resident was a full code and found unresponsive.
NOTE: At the time of the abbreviated survey, the violation was determined to be at the immediate and serious jeopardy level J.
Based on observation, interview, and record review completed during the onsite visit, it was determined the facility had implemented corrective action to address and lower the violation at the time. A final revisit will be conducted to determine if the facility is in substantial compliance with participation requirements.
At the time of exit, the severity of the deficiency was lowered to the D level.
Complaint #2788657