Federal inspection record · CMS data as of October 1, 2026
Citizens Memorial Healthcare Facility
1218 West Locust, Bolivar, MO · (417) 326-7648
- Certified beds
- 111
- Residents per day
- 100
- Ownership
- Non-Profit
- Chain
- Citizens Memorial Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 27, 1993
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Citizens Memorial Healthcare Facility carries 69 inspection points. That is fewer than 57% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3E
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2025-12-22
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-12-08
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2021-04-16
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 1 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 1 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.2 pts better | 98.2% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.1 pts better | 98.9% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts better | 1.2% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts better | 0.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 1.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts better | 19.4% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts better | 20.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts worse | 24.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts worse | 20.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3 pts worse | 5.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.4 pts better | 10.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 4.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.5 pts better | 93.2% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts worse | 17.5% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.6% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.8 pts better | 86.2% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission15.1 pts worse | 40.8% | 25.7% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ashworth, James | Corporate Director · Individual | 0% | 5 facilities |
| Babb, Donald | Corporate Director · Individual | 0% | 6 facilities |
| Calhoun, Michael | W-2 Managing Employee · Individual | 0% | 6 facilities |
| Calhoun, Michael | Corporate Officer · Individual | 0% | 6 facilities |
| Derrickson, Beverly | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Derrickson, Beverly | Corporate Director · Individual | 0% | 2 facilities |
| Derrickson, Beverly | Corporate Officer · Individual | 0% | 2 facilities |
| Donnell, William | Corporate Director · Individual | 0% | 2 facilities |
| Finnell, Heather | W-2 Managing Employee · Individual | 0% | 6 facilities |
| Francka, Tim | W-2 Managing Employee · Individual | 0% | 5 facilities |
| Hancock, Janieca | Corporate Director · Individual | 0% | 6 facilities |
| Hancock, Janieca | Corporate Officer · Individual | 0% | 6 facilities |
| Johnson, Brad | Corporate Director · Individual | 0% | 2 facilities |
| Kallenbach, John | Corporate Director · Individual | 0% | 6 facilities |
| Kallenbach, John | Corporate Officer · Individual | 0% | 6 facilities |
| Meents, Dana | Corporate Director · Individual | 0% | 6 facilities |
| Meyer, Renee | W-2 Managing Employee · Individual | 0% | 6 facilities |
| Meyer, Renee | Corporate Officer · Individual | 0% | 6 facilities |
| Molder, Catherine | Corporate Officer · Individual | 0% | 2 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Egress1E
- E
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.
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Other homes nearby
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Parkview Health Care Facility
Bolivar, MO · Citizens Memorial Health Care
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0
-
Big Spring Care Center For Rehab And Healthcare
Humansville, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0
-
Northwood Hills Care Center
Humansville, MO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0