Skilled nursing facility · CMS certification number 445537
BOLIVAR HEALTH & REHABILITATION LLC
BOLIVAR, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 67
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 11, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,510,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $945,189 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,565,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,598,464 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $311,882 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $278,750 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $278,750 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 24,522 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,679 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,593 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,150 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,422 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 77 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 161 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 318 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 157.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450349, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,824,977 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,138,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,686,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,861,087 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$174,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $396,870 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $222,005 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $222,005 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,463 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 331 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 200.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1422718, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,813,657 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $848,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,964,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,520,387 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$555,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$540,184 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$540,184 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,114 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383106, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for October 12, 2021 to December 31, 2021 — a reporting period of 80 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $602,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $122,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $480,547 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,126,821 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$646,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $310 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$645,964 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$645,964 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,125 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 18.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327639, read from the public cost report file SNF10FY2022.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| No owner named in the filing | Ownership Data Not Available | Not stated in the filing | Not stated in the filing | Not stated in the filing |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CHRISTIAN CARE CENTER OF BOLIVAR LLC (enrollment ID O20211110002899).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JIMMY R LEWIS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JIMMY R LEWIS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANITA B WEST | Individual | CORPORATE OFFICER | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JIMMY R LEWIS | Individual | CORPORATE OFFICER | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA CAWOOD-GRAY | Individual | CORPORATE OFFICER | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA K HILL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/16/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANITA B WEST | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARE CENTERS MANAGEMENT CONSULTING, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/20/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JIMMY R LEWIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA CAWOOD-GRAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERRY L NORVELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA K HILL | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 4/16/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERRY L NORVELL | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- June 11, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 16, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 12, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 22, 2026 | July 22, 2026 | 0 | 0 |
| 2 | April 9, 2025 | April 9, 2025 | 5 | 2 |
| 3 | April 18, 2024 | April 18, 2024 | 3 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 9, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 25, 2025 |
| April 9, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 25, 2025 |
| April 9, 2025 | Health | F 0689 | 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 | No | Deficient, Provider has date of correction | April 25, 2025 |
| April 9, 2025 | Health | F 0812 | 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 | No | Deficient, Provider has date of correction | April 25, 2025 |
| April 9, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 25, 2025 |
| April 18, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | May 9, 2024 |
| April 18, 2024 | Health | F 0806 | 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. | D | No | Deficient, Provider has date of correction | May 9, 2024 |
| April 18, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | May 9, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 2021-10-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Hardeman |
| Telephone Number | 7312124822 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 67 |
| Average Number of Residents per Day | 56.4 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On June 11, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for BOLIVAR HEALTH & REHABILITATION LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Tennessee at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 445537.