Apple Ridge Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 12 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (19 vs median 10)
- High staff turnover (60%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in CIRCLE B ENTERPRISES chain · No penalties on record · Abuse citation
What this means for your family
While the facility is praised for its scenic environment and engaging activities, the serious report of poor hygiene and neglect is a major red flag. When touring, we strongly recommend visiting unannounced to observe the cleanliness of the rooms and the responsiveness of the staff firsthand.
Google Reviews
Google Reviews
12 reviews on Google“Apple Ridge Care Center receives polarized feedback, with some families praising the friendly staff and clean environment, while others report severe neglect and hygiene issues. While some visitors appreciate the facility's scenic location and welcoming atmosphere, serious concerns regarding cleanliness and staff responsiveness have been raised by family members of residents.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and welcoming staff
- Clean and well-decorated facility
- Engaging activities and entertainment
- Scenic location
Concerns
- Poor hygiene and strong odors of urine
Rating Trends
Tap a year to see what changed
Distribution · 13 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed the facility has a lovely scenic location; how do you incorporate that into the daily activities and outdoor time for the residents?
- 2Given the recent focus on facility maintenance, what is your current protocol for ensuring high standards of cleanliness and odor management throughout the day?
- 3With your current staffing levels, how do you ensure that each resident receives consistent, personalized attention for their daily hygiene and comfort needs?
- 4What specific steps is the leadership team taking to address the recent health inspection findings to ensure the highest quality of care for your 60 residents?
- 5How does your nursing team coordinate with local hospitals or specialists when a resident requires urgent medical attention beyond what is provided on-site?
- 6I've heard wonderful things about the entertainment and social events here; could you tell me more about the most popular activities residents participate in each week?
Personalized based on this facility's data
Key Review Excerpts
“We were able to share tasty meals together. We observed some of the planned activities they had for the residents. Most that could, participated and had a good time.”
“I went there for the first time and was pleasantly surprised to see the organization/decorating cute/clean and to have someone greet me up front/individual playing guitar and singing to residents at the entry way.”
“The place totally smells like urine each time I was there. The staff rude and lazy. One day I was there he was totally laying in urine and had soiled sheets on the floor that someone was too lazy to pick up.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
6
measures
6
measures
3
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with multiple families filing complaints about abuse protection, resident rights violations, and privacy issues. The most recurring problems involve emergency preparedness, fire safety systems, and infection control protocols. While the facility corrects identified deficiencies, serious issues like abuse protection and resident rights violations have repeatedly surfaced across multiple surveys, including recent complaint-triggered investigations, suggesting ongoing challenges with fundamental care standards.
Dec 30, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 19, 2025Complaint1
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Jul 18, 2025Complaint1
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Sep 11, 2024Routine26
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Egress Deficiencies
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.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
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.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Apr 15, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Oct 25, 2023Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ownership & Operations
Who Operates This Facility
Apple Ridge Care Center
for profit
Chain Affiliation
Circle B Enterprises
36 facilities nationwide
Chain avg rating: 2.3/5 · Rank 25 of 29 (Worst)
Ownership & Management
Owners
Circle B Enterprises Holding Company INC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
12 reviews from families & visitors
Official Website
Visit appleridgecc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.