Butler Rehab and Healthcare CenterCMS ratings, inspections and fines
- Address
- 416 S High Street, Butler, MO 64730
- CCN
- 265275
- Ownership type
- For-profit, limited liability company
- Certified beds
- 98
- Chain
- Ama Holdings
- Residents per day
- 55
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Butler Rehab and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 27 Feb 2026. The latest survey cycle has 15 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bates County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 2.0 | 3.0 |
| Health inspection rating | 3 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Feb 2026 | 15 | 9 |
| Cycle 2 | 5 Apr 2024 | 10 | 10 |
| Cycle 3 | No date | 10 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jun 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Jul 2026 |
| 29 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Jul 2026 |
| 27 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Mar 2026 |
| 27 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Mar 2026 |
| 18 Nov 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 19 Nov 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 21 Apr 2025 |
| 5 Apr 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Jun 2024 |
| 5 Apr 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 4 Jun 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Aug 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 15 Sep 2022 |
| 5 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Sep 2022 |
| 5 Aug 2022 | F0906 | Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | F | Standard survey | 15 Sep 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.36 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.31 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.76 | 0.68 | |
| Nurse aides | 2.30 | 2.29 | |
| All nurse staff, weekends | 2.93 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 73.6%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 71.4%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.0% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Butler Operator LLC
- Chain
- Ama Holdings (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Butler Holdco LLC | 5% or greater direct ownership interest | 100% | 1 Aug 2023 |
| Ama Holdings LLC | 5% or greater indirect ownership interest | 1 Aug 2023 | |
| Butler Manager LLC | 5% or greater indirect ownership interest | 1 Aug 2023 | |
| Butler Partners LLC | 5% or greater indirect ownership interest | 1 Aug 2023 | |
| Def Holdings LLC | 5% or greater indirect ownership interest | 1 Aug 2023 | |
| Excel Ntad LLC | 5% or greater indirect ownership interest | 1 Aug 2023 | |
| Mo Butler LLC | 5% or greater indirect ownership interest | 1 Aug 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bates County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Medicalodges Butler | Butler | 4 of 5 | 7 | $0 | 5 Sep 2025 | |
| Baptist Homes of Adrian | Adrian | 4 of 5 | 7 | $0 | 19 Nov 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Butler Rehab and Healthcare Center (CCN 265275). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/butler-rehab-and-healthcare-center-butler-mo-265275/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Butler Rehab and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 29 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 5 Apr 2024.
- Who operates Butler Rehab and Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Ama Holdings. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Butler Rehab and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.