All citations for Appleton City Manor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Appleton City Manor

Last standard health inspection on record

June 27, 2025

Showing 1 to 25 of 52 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  3. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

  4. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of September 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Widespread (many residents). CMS level F.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of September 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  6. No harm, with potential for more than minimal harm

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  7. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  8. No harm, with potential for more than minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  9. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  10. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  12. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

  13. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

  14. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

  15. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

  16. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

  17. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  18. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  19. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

  20. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  21. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  22. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

  24. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.