Bolivar, MO

Citizens Memorial Healthcare Facility

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1218 West Locust, Bolivar, MO

(417) 326-7648

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

111

Certified beds

Average residents

87

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Citizens Memorial Health Care

Operator or chain grouping

Approved since

1993-09-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing

LPN hours / resident day

0.38

Licensed practical nurse staffing

Aide hours / resident day

2.52

Nurse aide staffing

Weekend hours

2.84

Weekend nurse staffing

RN turnover

39%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.1
About the same
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.2
2.3
0.9 pts worse
1.8
1.4 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
84.8%
12.5 pts better
93.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
90.9%
8.1 pts better
95.5%
3.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.2%
4.1%
2.9 pts better
3.3%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.0%
14.7%
13.7 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.3%
5.5%
4.2 pts better
5.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.4%
25.3%
0.1 pts worse
19.6%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.1%
25.0%
8.9 pts better
16.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 26.7%
20.3%
6.4 pts worse
16.3%
10.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.1%
19.8%
2.3 pts worse
14.9%
7.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.4%
1.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.6%
2.6%
4 pts worse
1.7%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.3%
18.1%
5.8 pts better
19.8%
7.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.4%
5.0%
1.6 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.8%
66.4%
30.4 pts better
81.7%
15.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.2%
13.4%
2.2 pts better
12.0%
0.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
2.2%
0.3 pts better
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.2%
63.5%
27.7 pts better
79.7%
11.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.7%
25.3%
0.4 pts worse
23.9%
1.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-12-08 · Fire 2023-12-08

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2021-04-16 · Fire 2021-04-16

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-02-26 · Fire 2019-02-26

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-12-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-21

E · Potential for more than minimal harm 2021-04-16

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2021-04-25

E · Potential for more than minimal harm 2021-04-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-05-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-08-16

D · Potential for more than minimal harm 2025-07-07

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-08-16

D · Potential for more than minimal harm 2024-10-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-08

E · Potential for more than minimal harm 2023-12-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-21

D · Potential for more than minimal harm 2023-12-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-21

D · Potential for more than minimal harm 2023-12-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-21

D · Potential for more than minimal harm 2023-12-08

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-01-21

D · Potential for more than minimal harm 2023-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-21

D · Potential for more than minimal harm 2023-09-26

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-09-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-10

E · Potential for more than minimal harm 2023-06-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-31

D · Potential for more than minimal harm 2023-06-16

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-07-31

E · Potential for more than minimal harm 2021-04-16

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2021-05-04

E · Potential for more than minimal harm 2021-04-16

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2021-05-31

E · Potential for more than minimal harm 2021-04-16

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-05-31

D · Potential for more than minimal harm 2021-04-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-05-31

E · Potential for more than minimal harm 2019-02-26

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-03-30

E · Potential for more than minimal harm 2019-02-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-03-30

E · Potential for more than minimal harm 2019-02-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-05-20

E · Potential for more than minimal harm 2019-02-26

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-03-30

D · Potential for more than minimal harm 2019-02-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2019-03-30

D · Potential for more than minimal harm 2019-02-26

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-03-30

Penalties and ownership

What sits behind the stars

Ownership

Ashworth, James

Corporate Director · Individual

0% 6 facilities 2021-06-17
Babb, Donald

Corporate Director · Individual

0% 6 facilities 2019-12-19
Calhoun, Michael

Corporate Officer · Individual

0% 6 facilities 2022-01-01
Calhoun, Michael

W-2 Managing Employee · Individual

0% 6 facilities 2022-01-01
Derrickson, Beverly

Corporate Director · Individual

0% 4 facilities 2016-11-21
Derrickson, Beverly

Corporate Officer · Individual

0% 4 facilities 2020-01-27
Derrickson, Beverly

W-2 Managing Employee · Individual

0% 4 facilities 2020-01-27
Donnell, William

Corporate Director · Individual

0% 2 facilities 2012-03-14
Finnell, Heather

W-2 Managing Employee · Individual

0% 6 facilities 2022-01-01
Francka, Tim

W-2 Managing Employee · Individual

0% 3 facilities 1998-08-16
Hancock, Janieca

Corporate Director · Individual

0% 6 facilities 2018-03-15
Hancock, Janieca

Corporate Officer · Individual

0% 6 facilities 2022-01-01
Johnson, Brad

Corporate Director · Individual

0% 2 facilities 2022-01-01
Kallenbach, John

Corporate Director · Individual

0% 6 facilities 2019-06-20
Kallenbach, John

Corporate Officer · Individual

0% 6 facilities 2022-01-01
Meents, Dana

Corporate Director · Individual

0% 6 facilities 2010-10-14
Meyer, Renee

Corporate Officer · Individual

0% 6 facilities 2022-01-01
Meyer, Renee

W-2 Managing Employee · Individual

0% 6 facilities 1997-07-01
Molder, Catherine

Corporate Officer · Individual

0% 2 facilities 2002-03-01

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Health
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Staffing
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Fines
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#3

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Overall
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Health
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Staffing
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