Citizens Memorial Hospice



  
111 West Broadway, Bolivar
Missouri, 65613

 (41-7) -326-3585   Maps & Directions
Citizens Memorial Hospice, also known as Citizens Memorial Hospice is a hospice care center situated at Bolivar, Missouri. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Citizens Memorial Hospice accommodated approx. 284 Medicare beneficiaries whose average age was 83 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 261508. Citizens Memorial Hospice comes under the CMS regional office located at Kansas City. This CMS regional office covers all hospices located in Iowa, Kansas, Missouri, Nebraska. Services provided at Citizens Memorial Hospice mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Citizens Memorial Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Citizens Memorial Hospice type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 261508
Hospice’s Ownership Type:Other (13 Other)
Accreditation UnAccredited
Hospice Address:111 West Broadway, Bolivar,
Missouri, 65613
County:Polk
Phone:(41-7) -326-3585
Fax:417-328-6987
CMS Regional Office Kansas City
Medicare Certification:
Medicare certification details of Citizens Memorial Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:19 Oct, 2009
Current Status: Active Provider
Latest visit of the Health or LSC survey: 19 Nov, 2020
Certificate Provider: CMS Regional Office
CBSA Code 44180 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Citizens Memorial Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 284
RHC Days (in %) 100
Episode or Stay Count 289
Total Nursing Minutes 151035 Minutes (2517.25 Hours)
Days of Service 20,398
Average Age of Beneficiary 83 year
Average Risk Score of Beneficiaries 2.24
Total Medicare Payment Amount $ 3,100,093
Total Medicare Standard Payment Amount $ 3,524,694
Total Medicare Allowed Payment Amount $ 3,100,093
Total Charge Amount $ 6,422,447

Average Hospice Visit Count


Citizens Memorial Hospice have 4513 skilled nursing visits, 1202 social work visits and 2026 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Citizens Memorial Hospice rendered hospice services to 42% Male and 58% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Citizens Memorial Hospice provided hospice care to 99% White, 3% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Citizens Memorial Hospice,32% of Medicare beneficiaries received their Medicare correspondence in a rural area based on having a Core-based Statistical Area (CSBA) designation equal to Non-CBSA.
35% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Citizens Memorial Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 24 of Neoplasms & Diseases of the Blood and Blood forming organs, 21 of Diseases of the Nervous System, 27 of Diseases of the Circulatory System, 12 of Diseases of the Respiratory System, 7 diagnosis of Symptoms, Signs and Abnormal Clinical and Laboratory findings, not elsewhere classified,

Services Provided:
Services available at Citizens Memorial Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesHospice Staff
Nursing ServicesHospice Staff
Occupational TherapyHospice Staff
Physician ServicesHospice Staff
Physical TherapyHospice Staff
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesHospice Staff

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 98.793.6
Pain Screening 99.293.9
Pain Assessment 89.477.7
Dyspnea Screening 97.997.3
Dyspnea Treatment 94.394.6
Patients Treated with an Opioid who are Given a Bowel Regimen 96.993.3
Employee Count:
Citizens Memorial Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide1.50.0
Counseling1.0 0.0
Homemaker0.50.0
Medical Social Services2.00.0
Registered Nurses5.00.0
Practical/Vocational Nurses2.0 0.0
Other Personnel0.0 8.0
Physician Services1.0 0.0
TOTAL13.08.0
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Gary D. Fulbright
Position: Executive Director
Contact Number: 417-328-6501
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1124157169
NPI Enumeration Date: 05 Mar, 2007
NPI Last Update On: 18 Feb, 2020
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Citizens Memorial Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 003-10H0MissouriPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1500 N Oakland Ave,
Bolivar, Missouri
Zip: 65613-3099
Phone Number: 417-326-6000
Fax Number: 417-328-6237
Patients can reach Citizens Memorial Hospice at 111 West Broadway, Bolivar, Missouri or can call to book an appointment on (41-7) -326-3585.
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