Nursing homeActive
Citizens Memorial Healthcare Facility
1218 West Locust, Bolivar, MO 656134173267648111 certified beds · 92 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2021
Deficiencies
25
● 0● 24● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-02-10
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-12-22 | Standard | 091 | CMS-2567 (Care Compare) | — |
| 2025-07-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-08 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-09-26 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2021-04-16 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 265545-20260210-F557
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-02-03Record 265545-20251222-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F690
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F697
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F760
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 265545-20251222-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-16Record 265545-20250707-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-16Record 265545-20250707-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-08Record 265545-20241024-F755
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-21Record 265545-20231208-F558
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-21Record 265545-20231208-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-21Record 265545-20231208-F690
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-21Record 265545-20231208-F698
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-21Record 265545-20231208-F880
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 265545-20230926-F580
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 265545-20230926-F689
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-05-04Record 265545-20210416-F565
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-31Record 265545-20210416-F689
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-05-31Record 265545-20210416-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-05-31Record 265545-20210416-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.16
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.58
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover43%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover39%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.3% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.9% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.9% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.4% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.7% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.0% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ashworth, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Babb, Donald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Calhoun, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Calhoun, Michael Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Derrickson, Beverly Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Derrickson, Beverly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Derrickson, Beverly Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Donnell, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Finnell, Heather Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Francka, Tim Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hancock, Janieca Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hancock, Janieca Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Brad Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kallenbach, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kallenbach, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Meents, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Meyer, Renee Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Meyer, Renee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Molder, Catherine Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Citizens Memorial Health Care — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Polk.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Parkview Health Care Facility Bolivar | 0.7 mi | 2025-01-16 | 090 |
| Big Spring Care Center For Rehab And Healthcare Humansville | 14.7 mi | 2026-03-04 | 0220 |
| Northwood Hills Care Center Humansville | 15.5 mi | 2026-06-11 | 0170 |
| Willard Care Center Willard | 21.7 mi | 2026-04-10 | 0250 |
| Colonial Springs Healthcare Center Buffalo | 17.9 mi | 2026-03-11 | 0180 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |