Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hennis Care Centre Of Bolivar during CMS and state inspections, most recent first.
A resident experienced a significant decline in condition, including unresponsiveness and seizure-like activity, but the facility failed to adequately monitor and seek timely medical intervention. Despite severe symptoms and a full code status, the resident was not transferred to the hospital until 19 days later, resulting in respiratory failure and sepsis.
Failure to Monitor and Seek Timely Medical Intervention
Penalty
Summary
The facility failed to adequately monitor and seek timely medical intervention for a resident following a significant change in condition. The resident, who was severely cognitively impaired, experienced a series of medical issues starting with an episode of unresponsiveness and seizure-like activity. Despite being a full code and having no history of seizures, the resident's condition was not promptly addressed, and he was not transferred to the emergency room until 19 days after the initial significant change in condition was noted. During this period, the resident's oxygen saturation levels dropped significantly, and he exhibited various symptoms including labored breathing, high fever, and lethargy, which were not adequately monitored or treated in a timely manner. The resident's medical history included severe sepsis with septic shock, metabolic encephalopathy, acute kidney disease, and other serious conditions. On multiple occasions, the resident showed signs of severe distress, such as high fever, body tremors, and labored breathing, but the facility's response was delayed. For instance, on one occasion, the resident was found unresponsive with seizure-like activity, but the nurse practitioner only ordered Ativan and did not transfer the resident to the hospital. Subsequent progress notes revealed that the resident's condition continued to deteriorate, with episodes of lethargy, abnormal lung sounds, and low oxygen saturation levels, yet there was no documented evidence of timely medical intervention or hospitalization. The facility's failure to promptly notify the resident's power of attorney and the attending physician, as well as the lack of immediate medical intervention, contributed to the resident's decline. The resident was eventually transferred to the emergency room, where he was intubated and admitted to the intensive care unit for respiratory failure and sepsis. The facility's policy on change in a resident's condition and status was not followed, leading to a significant delay in addressing the resident's medical needs and resulting in actual harm to the resident.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bolivar
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Altercare Of Navarre Ctr For Rehab & Nrsg Care | 6.1 mi | ★★★★★ | 13 | 0 |
| Country Lawn Ctr For Rehab | 6.7 mi | ★★★★★ | 0 | 0 |
| Park Village Health Care Center Inc | 7.9 mi | ★★★★★ | 1 | 0 |
| Hennis Care Centre Of Dover | 8.1 mi | ★★★★★ | 0 | 0 |
| Legends Care Rehabilitation And Nursing Center | 8.6 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.