Citizens Memorial Healthcare Facility
1218 West Locust · Bolivar, MO · 65613 · 4173267648
111 certified beds Non profit - Corporation Chain: Citizens Memorial Health Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D February 10, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Past Non-Compliance · Resident Rights
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Actual harm · G December 22, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 3, 2026 · Pharmacy Service
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Potential for harm · D December 22, 2025
Ensure that residents are free from significant medication errors.
Corrected February 3, 2026 · Pharmacy Service
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Potential for harm · E December 22, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 3, 2026 · Nutrition and Dietary
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Potential for harm · F December 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 3, 2026 · Nutrition and Dietary
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Potential for harm · E December 22, 2025
Provide and implement an infection prevention and control program.
Corrected February 3, 2026 · Infection Control
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Potential for harm · D July 7, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 16, 2025 · Quality of Life and Care
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Potential for harm · D July 7, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 16, 2025 · Quality of Life and Care
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Potential for harm · D October 24, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 8, 2024 · Pharmacy Service
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Potential for harm · D December 8, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 21, 2024 · Resident Rights
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Potential for harm · E December 8, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 21, 2024 · Quality of Life and Care
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Potential for harm · D December 8, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 21, 2024 · Quality of Life and Care
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Potential for harm · D December 8, 2023
Provide and implement an infection prevention and control program.
Corrected January 21, 2024 · Infection Control
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Potential for harm · D September 26, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · D September 26, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 10, 2023 · Quality of Life and Care
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Potential for harm · D June 16, 2023 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 31, 2023 · Nutrition and Dietary
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Potential for harm · E June 16, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 31, 2023 · Infection Control
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Potential for harm · E April 16, 2021
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 4, 2021 · Resident Rights
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Potential for harm · D April 16, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265545 · certified since September 27, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.