Citizens Memorial Healthcare Facility
1218 West Locust, PO Box 590, Bolivar MO 65613 · (417) 326-7648 · 85.04% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Citizens Memorial Healthcare Facility is an average-sized non-profit facility located in Bolivar, Missouri. This nursing home is a well below average facility. A grade in this range indicates we found a few red flags. If you are not happy with this facility's poor overall grade, you may find your options to be limited in Bolivar. The city has just one other nursing home. If you aren't deterred by this facility's profile, you can continue reading to find out about its category scores. We discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 111 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we didn't rate this nursing home favorably overall, we actually gave it an excellent grade in the category of inspections, where it received an A. These inspection ratings weigh several factors, including deficiencies and federal fines. You can find more information about each of these items by reviewing copies of nursing homes' inspection reports. Unfortunately, it does not look like we have deficiency data for this facility. We wish we had more information about this nursing home. Without having all of the deficiency related data, it ended up being difficult to assess it in the inspections category.
Long-term Care Quality
Additionally, we awarded this nursing home a B in our long-term care category. This happens to be one of our more impressive scores. Long-term care grades in this range generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. On top of considering the amount of care provided by aids and other staff, we looked at the number of residents vaccinated against pneumonia. This facility administered the vaccine to 99.4012 percent of its patients. Vaccines are vital to keeping residents healthy. Finally, we looked at its number of hospitalizations. Here we found that this facility had 2.49 hospitalizations per one thousand long-term resident days.
Short-term Care Quality
We gave this facility just a D for our short-term care score. This is well below average in this category. In the area of short-term care, we attempt to evaluate indicators of a nursing home's rehabilitation. We assess a facility's skilled nursing services, such as the ones performed by registered nurses and physical and occupational therapists. Unfortunately, this nursing home was below average in terms of its quantity of physical therapy and registered nurse hours provided to its residents based on the measures we assessed. Lastly, we looked at the percentage of patients who were able to return to the community from this facility. We found that just 42.9 percent of this nursing home's patients returned home.
Nurse Quality
The next category we rated was nursing. Unfortunately, we gave it an F in this category, which is a rock bottom grade. In computing our nursing grades, we factor in both the number of hours nurses spend with residents and the levels of licensure of the nurses. This nursing home provides 3.2 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. To pair with its low totals in the area of nursing hours per resident, this place also did not perform as well in the quality-based measures we looked at in calculating our nursing grades. We looked at the percent of residents experiencing major falls and pressure ulcers. This facility had more pressure ulcers and falls than the average nursing home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Citizens Memorial Healthcare Facility Quality Metrics
Minimizes Pressure Ulcers
This datapoint gauges the percent of long-term care residents who suffer from pressure ulcers. We find that pressure ulcers are a great indicator of nursing care quality.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients who sustained a major fall. Falls leading to severe injuries are considered to be a measure of the quality of nursing care . Major falls resulting in injury are often the result of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percent of residents who have had a urinary tract infection. Urinary tract infections are often linked to poor nursing care. Closer supervision can reduce the number likelihood of residents sustaining infections. Keep in mind that this statistic is sometimes skewed by the fact that facilities have varying reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percent of patients given antipsychotic drugs. Antipsychotic medications are given to residents for a variety of conditions, including Alzheimer's or other dementias. Unfortunately, in limited cases, increased usage of these drugs may mean that a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This statistic tells you the percent of long-term patients taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of residents exhibiting symptoms of depression. High levels of depression could be an indicator lower quality care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of patients who were administered the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of residents that needed additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's could be a sign of erosion of a patient's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percentage of residents who remained mobile levels over time. Preserving mobility can be a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of hospitalizations per thousand days of patient care. There is generally a correlation between avoiding hospitalizations and the quality of nursing home care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of times residents are rehospitalized per thousand days of short-term patient care. Keeping residents out of the hospital during rehabilitation is key to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per 1,000 days of short-term patient care. There is usually a correlation between fewer emergency room visits and the quality of nursing home care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric measures the percentage of short-term stay patients who saw functional improvements, such as enhanced ability to perform activities of daily living. Some experts argue this is a reasonable measure of a nursing home's rehabilitation performance.
Percentage of Resident
Higher is Better