The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
CITIZENS MEMORIAL HEALTHCARE FACILITY
BOLIVAR, MO · Medicare-certified · 111 beds
In good standing
Non-profitChain member
2 of 5 overall
Citizens Memorial Healthcare Facility has a 2 out of 5 overall rating, with weak quality measures (1 of 5) and staffing (2 of 5), while health inspections are somewhat better at 3 of 5. Reported nurse staffing is 3.18 hours per resident per day, below the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1822 hrs/resident/day
Quality measures
Last inspection: February 10, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1822.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.30
- Nurse aides
- 2.37
- Weekend nursing
- 2.69
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.7%15.6%Improving
Residents with a fall causing major injury
1.1%1.2%No change
Residents with pressure ulcers (bedsores)
5.7%3%Improving
Residents with a urinary tract infection
6.7%4.8%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23%20.5%Improving
Residents whose ability to walk got worse
14.3%35.9%Worsening
Long-stay residents on antianxiety or sleep medication
27.5%19.8%Improving
Short-stay residents newly given an antipsychotic
3.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.4%15.8%Worsening
Residents with depressive symptoms
1.3%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
96.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—91.2%—
Short-stay residents given the pneumonia vaccine
94.6%94.4%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CITIZENS MEMORIAL HEALTH CARE · 6 homes · 3.5 stars avg
- Occupancy
- 92.4 residents on an average day (83% of 111 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.