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Complaint Investigation

Appleton City Manor

February 27, 2026 · Appleton City, MO · 600 North Ohio
Citations 1
CMS Rating 1/5
Beds 60
Provider ID 265843
Healthcare Facility
Appleton City Manor
Appleton City, MO  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0678
Quality of Life and Care Deficiencies

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

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in APPLETON CITY, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from APPLETON CITY MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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