Citizens Memorial Healthcare Facility
Citizens Memorial Healthcare Facility Information
| Facility Name | Citizens Memorial Healthcare Facility |
| Location | 1218 West Locust, Po Box 590, Bolivar, MO 65613 |
| County (SSA Code) | Polk (821) |
| Phone Number | 417-326-7648 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 111 |
| Average Number of Residents | 98.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | CITIZENS MEMORIAL HEALTH CARE FOUNDATION |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1993-09-27 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.53913 |
| Reported LPN Staffing Hours per Resident per Day | 0.52202 |
| Reported RN Staffing - Hours per Resident per Day | 0.35603 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.87805 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.41718 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06972 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.92512 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65215 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29057 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.86784 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.79889 |
| Total Weighted Health Survey Score for three cycles | 48.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-26 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-03 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-02 |
| Rating cycle 3 - Health Deficiency Score | 52 |
| Rating cycle 3 - Total Health Inspection Score | 52 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |