CITIZENS MEMORIAL HEALTHCARE FACILITY
1218 WEST LOCUST
BOLIVAR, MO, 65613
4173267648
CCN: 265545
4
Overall4
Health3
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| ASHWORTH, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| BABB, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| DERRICKSON, BEVERLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| DONNELL, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| HANCOCK, JANIECA | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, BRAD | CORPORATE DIRECTOR | NOT APPLICABLE |
| KALLENBACH, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MEENTS, DANA | CORPORATE DIRECTOR | NOT APPLICABLE |
| CALHOUN, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| DERRICKSON, BEVERLY | CORPORATE OFFICER | NOT APPLICABLE |
| HANCOCK, JANIECA | CORPORATE OFFICER | NOT APPLICABLE |
| KALLENBACH, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| MEYER, RENEE | CORPORATE OFFICER | NOT APPLICABLE |
| MOLDER, CATHERINE | CORPORATE OFFICER | NOT APPLICABLE |
| CALHOUN, MICHAEL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| DERRICKSON, BEVERLY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| FINNELL, HEATHER | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| FRANCKA, TIM | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MEYER, RENEE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (22)
2025-07-07 · Health
D
F690 · 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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-10-24 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023-12-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F690 · 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.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-09-26 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F580 · 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.
2023-06-16 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F806 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
2021-04-16 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2019-02-26 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.46
RN Hrs/Resident/Day0.54
0.55
LPN Hrs/Resident/Day0.81
0.38
CNA Hrs/Resident/Day2.33
2.52
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01