CITIZENS MEMORIAL HEALTHCARE FACILITY
1218 WEST LOCUST, BOLIVAR, MO 65613 · CCN 265545
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 111
- Avg residents/day
- 86.5
- Phone
- 4173267648
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-12-08 | 7 | 11.9 | 9.5 | -4.9 better |
| 2 | 2021-04-16 | 5 | 13.0 | 9.8 | -8.0 better |
| 3 | 2019-02-26 | 10 | 11.0 | 9.3 | -1.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.46 | 43.5% |
| RN staffing (reported) | 0.55 | 38.5% |
| Total nurse staffing (adjusted) | 3.81 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CITIZENS MEMORIAL HEALTH CARE
- Facilities in chain
- 6
- Chain avg overall
- 4.00 / 5
Inspection citations (22)
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-07 · Health · corrected 2025-08-16
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-07 · Health · corrected 2025-08-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-24 · Health · corrected 2024-12-08
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-08 · Health · corrected 2024-01-21
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-08 · Health · corrected 2024-01-21
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-08 · Health · corrected 2024-01-21
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-12-08 · Health · corrected 2024-01-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-08 · Health · corrected 2024-01-21
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-26 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-26 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-16 · Health · corrected 2023-07-31
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-16 · Health · corrected 2023-07-31
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-04-16 · Health · corrected 2021-05-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-16 · Health · corrected 2021-05-31
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-04-16 · Health · corrected 2021-05-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-04-16 · Health · corrected 2021-05-31
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2019-02-26 · Health · corrected 2019-03-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-02-26 · Health · corrected 2019-03-30
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2019-02-26 · Health · corrected 2019-03-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-02-26 · Health · corrected 2019-03-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-02-26 · Health · corrected 2019-05-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-02-26 · Health · corrected 2019-03-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ASHWORTH, JAMES | Individual | CORPORATE DIRECTOR | — | 2021-06-17 |
| BABB, DONALD | Individual | CORPORATE DIRECTOR | — | 2019-12-19 |
| DERRICKSON, BEVERLY | Individual | CORPORATE DIRECTOR | — | 2016-11-21 |
| DONNELL, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2012-03-14 |
| HANCOCK, JANIECA | Individual | CORPORATE DIRECTOR | — | 2018-03-15 |
| JOHNSON, BRAD | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| KALLENBACH, JOHN | Individual | CORPORATE DIRECTOR | — | 2019-06-20 |
| MEENTS, DANA | Individual | CORPORATE DIRECTOR | — | 2010-10-14 |
| CALHOUN, MICHAEL | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| DERRICKSON, BEVERLY | Individual | CORPORATE OFFICER | — | 2020-01-27 |
| HANCOCK, JANIECA | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| KALLENBACH, JOHN | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| MEYER, RENEE | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| MOLDER, CATHERINE | Individual | CORPORATE OFFICER | — | 2002-03-01 |
| CALHOUN, MICHAEL | Individual | W-2 MANAGING EMPLOYEE | — | 2022-01-01 |
| DERRICKSON, BEVERLY | Individual | W-2 MANAGING EMPLOYEE | — | 2020-01-27 |
| FINNELL, HEATHER | Individual | W-2 MANAGING EMPLOYEE | — | 2022-01-01 |
| FRANCKA, TIM | Individual | W-2 MANAGING EMPLOYEE | — | 1998-08-16 |
| MEYER, RENEE | Individual | W-2 MANAGING EMPLOYEE | — | 1997-07-01 |
Other facilities in BOLIVAR
| Name | Overall | Beds |
|---|---|---|
| PARKVIEW HEALTH CARE FACILITY | ★★★★★ | 78 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.