7 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bolivar, MO
5-star overall rating with 4-star inspections with 7 recent health deficiencies
119 West Forest, Bolivar, MO
(417) 326-3000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
78
Certified beds
Average residents
69
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Citizens Memorial Health Care
Operator or chain grouping
Approved since
1992-12-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.52
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.95
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
3.80
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
10,857
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.78
Baseline 19.23% · Performance 20.61% · Measure score 1.78 · Achievement 1.78 · Improvement 0
Healthcare-associated infections
3.43
Baseline 6.01% · Performance 6.81% · Measure score 3.43 · Achievement 3.43 · Improvement 0
Total nurse turnover
2.34
Baseline 41.07% · Performance 54.10% · Measure score 2.34 · Achievement 2.34 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.44 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.64% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 97 · Observed rate 6.19% · Lower 95% interval 6.52% |
| Discharge to community | 62.79% |
50.57%
12.2 pts better
|
Better than the National Rate · Eligible stays 91 · Observed rate 62.64% · Lower 95% interval 51.65% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.65% |
95.27%
0.4 pts better
|
Numerator 44 · Denominator 46 |
| Falls with major injury | 2.17% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 46 |
| Discharge self-care score | 53.85% |
53.69%
0.2 pts better
|
Numerator 21 · Denominator 39 |
| Discharge mobility score | 56.41% |
50.94%
5.5 pts better
|
Numerator 22 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 2.17% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 46 · Adjusted rate 2.39% |
| Healthcare-associated infections requiring hospitalization | 6.81% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 4.84% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 12.61% |
8.2%
4.4 pts better
|
Numerator 15 · Denominator 119 |
| Staff flu vaccination coverage | 93.16% |
42%
51.2 pts better
|
Numerator 109 · Denominator 117 |
| Discharge function score | 53.85% |
56.45%
2.6 pts worse
|
Numerator 21 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 34 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 7.41% |
25.2%
17.8 pts worse
|
Numerator 2 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
84.8%
14.8 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
90.9%
4.1 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.1% |
4.1%
3 pts worse
|
3.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.9% · Q3 6.8% · Q4 3.7% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
14.7%
11.4 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.9% · Q3 1.7% · Q4 4.5% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.5%
1.5 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 2.3% · Q4 9.5% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.0% |
25.3%
4.3 pts better
|
19.6%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 19.6% · Q3 26.7% · Q4 18.6% · 4Q avg 21.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9% |
25.0%
11.1 pts better
|
16.7%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 12.8% · Q3 11.4% · Q4 16.1% · 4Q avg 13.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.1% |
20.3%
0.8 pts worse
|
16.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 12.6% · Q3 28.7% · Q4 17.8% · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.0% |
19.8%
9.2 pts worse
|
14.9%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 25.0% · Q3 24.4% · Q4 45.2% · 4Q avg 29.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.4%
0.8 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
2.6%
1.7 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.5% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
18.1%
6.8 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 20.4% · Q3 24.5% · Q4 19.5% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
5.0%
1.2 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.9% · Q3 0.0% · Q4 1.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
66.4%
29.8 pts better
|
81.7%
14.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 96.5% · Q3 99.0% · Q4 97.1% · 4Q avg 96.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
13.4%
5.8 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 7.4% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
2.2%
0.5 pts better
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 0.0% · Q4 2.9% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.6% |
63.5%
26.1 pts better
|
79.7%
9.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.2% |
25.3%
10.1 pts better
|
23.9%
8.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.8% · Expected 23.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2022-12-13
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-02
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-04
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Bolivar, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Humansville, MO
1-star overall rating with 1-star inspections with 20 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Humansville, MO
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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