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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 23% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 20 findings, above the MO average of 12.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 13 analyzed
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 15 measures
7
measures
5
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
Apple Ridge Care Center
for profit
Circle B Enterprises
36 facilities nationwide
Chain avg rating: 2.3/5 · Rank 25 of 29 (Lowest rating)
Owners
Circle B Enterprises Holding Company INC
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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