Nursing homes › Missouri › Apple Ridge Care Center
100 West Thomas Avenue, Waverly, MO 64096 · 6604932232 · 60 certified beds
Per CMS filings, this facility is affiliated with Circle B Enterprises, a group operating 36 facilities in 2 states. Group record: average rating 2.5/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $518,766 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 2.74 (Missouri median: 3.36). RN hours: 0.17. Weekend total: 2.59. Nursing staff turnover: 63%.
All-time on record: 39 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-06-10 |
| 2026-05-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-10 |
| 2025-12-30 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | complaint | corrected 2026-02-03 |
| 2025-12-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-02-03 |
| 2025-12-19 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | complaint | corrected 2026-02-03 |
| 2025-07-18 | Keep residents' personal and medical records private and confidential. | E | complaint | corrected 2025-05-30 |
| 2024-09-11 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-10-18 |
| 2024-09-11 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-10-18 |
| 2024-09-11 | Provide care or services that was trauma informed and/or culturally competent. | E | Health | corrected 2024-10-18 |
| 2024-09-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-10-18 |
| 2024-09-11 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-10-18 |
| 2024-09-11 | 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. | E | Health | corrected 2024-10-18 |
| 2024-09-11 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | 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. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Ensure the activities program is directed by a qualified professional. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Provide routine and 24-hour emergency dental care for each resident. | D | Health | corrected 2024-10-18 |
| 2024-09-11 | Post nurse staffing information every day. | C | Health | corrected 2024-10-18 |
| 2024-04-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-04-08 |
| 2023-10-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-10-16 |
| 2023-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-08-31 |
| 2023-03-02 | Assure the security of all personal funds of residents deposited with the facility. | E | Health | corrected 2023-04-06 |
| 2023-03-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2023-04-06 |
| 2023-03-02 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Health | corrected 2023-04-06 |
| 2023-03-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-04-06 |
| 2023-03-02 | Honor the resident's right to manage his or her financial affairs. | D | Health | corrected 2023-04-06 |
| 2023-03-02 | 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. | D | Health | corrected 2023-04-06 |
| 2023-03-02 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-04-06 |
| 2023-03-02 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-04-06 |
| 2023-03-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-04-06 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/13/1996 |
| BEDELL, DONALD | Corporate Director | Individual | NOT APPLICABLE | since 03/13/1996 |
| BEAIRD, TODD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | Corporate Officer | Individual | NOT APPLICABLE | since 03/13/1996 |
| AGH1 LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/02/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/23/2021 |
| BEDELL, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/13/1996 |
| CHANDRA, RAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/1994 |
| DAVIS, DANA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/03/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265420. Corrections: data@carerecords.org.