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Nursing HomeMedicaid Investigative

Citizens Memorial Healthcare Facility

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1218 West Locust, Bolivar, MO 65613111 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 32 Google reviews

5
4
3
2
1
Citizens Memorial Healthcare Facility Nursing Home in Bolivar, MO — Street View
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0/ 10
none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Top 25% in MO · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

The facility appears to have a strong activities program and effective therapy services, which are great for recovery and engagement. However, families should be aware of historical complaints regarding communication and responsiveness; I recommend testing their phone responsiveness yourself and asking for a clear plan on how they handle family updates.

Google Reviews

Google Reviews

32 reviews on Google
Reviews for Citizens Memorial Healthcare Facility are polarized, with a significant divide between recent high-star ratings and older, deeply critical feedback. While some families praise the therapy department and activities staff for their dedication, others report severe concerns regarding communication, hygiene, and the responsiveness of nursing staff.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean2.0Activities9.0MedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Effective physical therapy department
  • Engaging activities and volunteer programs
  • Compassionate nursing staff

Concerns

  • Poor communication and difficulty reaching staff by phone (mentioned by 3 reviewers)
  • Hygiene and basic care neglect (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.72018(3)1.02019(6)1.02020(1)1.02021(2)4.02023(4)4.62024(17)

Distribution · 33 analyzed

5
19
4
0
3
0
2
2
1
12
13 reviews posted between Aug 20, 2024Aug 22, 2024 · 13 were 5-star

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you have a very active volunteer program; could you walk me through what a typical week of activities looks like for a resident?
  • 2Given that communication is so vital for families, what is the best way for us to reach the nursing team directly if we have questions about our loved one's care?
  • 3I see that you have a strong physical therapy department; how do you integrate those therapy sessions into the daily routine of residents?
  • 4We appreciate that you are active in responding to feedback online; what processes do you have in place to ensure that daily hygiene and personal care needs are consistently met for every resident?
  • 5With a 3-star staffing rating, how does your team manage the workflow to ensure that residents receive timely attention when they need assistance?
  • 6In the event of a medical emergency, what is the specific protocol for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

Amazing activities staff with a rotation of new activities for the residence instead of the same old thing every week they try new games and recipes. They have several volunteers that come in and play music.

Employee/Family member · 2024★★★★★

The therapy department gets people back where they need to be to be able to go home.

Employee/Family member · 2024★★★★★

Was visited twice both times he was found in a puddle of his own urine.

Grandchild of resident · 2019☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
67%
Registered nurses for medical care
Total Nursing
3.18hrs
78%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
MO
16.7%
Polk
3.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
93.4%
MO
84.4%
Polk
96.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
15.3%
MO
18.9%
Polk
16.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.3%
Worse than Avg
Here
22.3%
US
14.4%
MO
19.1%
Polk
13.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
95.5%
MO
90.9%
Polk
96.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
19.4%
MO
17.9%
Polk
19.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
81.8%
MO
65.9%
Polk
90.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.2%
Better than Avg
Here
91.2%
US
79.8%
MO
63.5%
Polk
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Mixed vs Avgs
Here
1.8%
US
1.6%
MO
2.2%
Polk
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Above state avg (12.0)
8 complaint-triggered

This facility has faced multiple family complaints leading to federal investigations, with recurring issues in resident safety, wound care, and medication management. The most persistent problems involve accident prevention and pressure ulcer care, appearing across multiple surveys from 2019 to 2025. While all deficiencies show correction dates, the pattern of complaints and repeated safety violations in core care areas suggests families should carefully evaluate this facility's quality standards.

Feb 10, 2026Complaint
1
0557Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Dec 22, 2025Routine
10
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 7, 2025Complaint
2
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 24, 2024Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Dec 8, 2023Routine
6
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 26, 2023Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Citizens Memorial Healthcare Facility

Organization Type

nonprofit

Chain Affiliation

Chain Name

Citizens Memorial Health Care

Chain Size

6 facilities nationwide

Chain avg rating: 4.0/5 · Rank 3 of 6

Ownership & Management

Key personnel

Calhoun, MichaelW-2 Managing EmployeeDerrickson, BeverlyW-2 Managing EmployeeFinnell, HeatherW-2 Managing EmployeeFrancka, TimW-2 Managing EmployeeMeyer, ReneeW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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