nursing home in Butler, MO
Butler Rehab and Healthcare Center
416 S High Street, Butler, MO 64730 · (660) 679-6158
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Butler Rehab and Healthcare Center at a glance
Butler Rehab and Healthcare Center is a 98-bed for-profit nursing home in Butler, Missouri (Bates County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 3.4 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (February 27, 2026) found 15 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 73.6% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 98
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ama Holdings
- Medicare-certified since
- March 11, 1985
- Resident/family council
- Resident
- County
- Bates County
- CMS Certification Number
- 265275
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.36 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.31 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.30 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.93 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 73.6% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 74 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 98 | 103 | 107 | |
| Average residents per day | 55 | 73 | 86 | |
| Occupancy | 56.5% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.4% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14% | 23.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.2% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.8% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.7% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 87.3% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 34.2% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 14.9% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 75.8% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 85.8% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.1% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 23.7% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 29.7% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 35 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 29, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 20, 2026 |
| June 29, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 20, 2026 |
| February 27, 2026 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 27, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 25, 2026 |
| February 27, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 27, 2026 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected March 25, 2026 |
| November 18, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected November 19, 2025 |
| April 29, 2025 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected April 21, 2025 |
| April 5, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 4, 2024 |
| April 5, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected June 4, 2024 |
| April 5, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 4, 2024 |
| April 5, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected June 4, 2024 |
| April 5, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 4, 2024 |
| April 5, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 4, 2024 |
| April 5, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected June 4, 2024 |
| April 5, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected June 4, 2024 |
| April 5, 2024 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected June 4, 2024 |
| April 5, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 4, 2024 |
| April 5, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected June 4, 2024 |
| August 5, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 15, 2022 |
| August 5, 2022 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected September 15, 2022 |
| August 5, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected September 15, 2022 |
| August 5, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 15, 2022 |
| August 5, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected September 15, 2022 |
| August 5, 2022 Standard | Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Environmental Deficiencies · Tag F0906 | F Potential harm, widespread | Corrected September 15, 2022 |
| August 5, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected September 15, 2022 |
| August 5, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 4, 2022 |
| August 5, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected September 15, 2022 |
| August 5, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected September 15, 2022 |
| August 5, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 15, 2022 |
| August 5, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 15, 2022 |
| August 5, 2022 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected September 15, 2022 |
| August 5, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected September 15, 2022 |
| August 5, 2022 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected September 15, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BUTLER HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 08/01/2023 |
| AMA HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| BUTLER MANAGER LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| BUTLER PARTNERS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| DEF HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| EXCEL NTAD LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| MARX, ASHER Individual | 5% or greater indirect ownership interest | — | 08/01/2023 |
| MO BUTLER LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| TREITEL, NASSAN Individual | 5% or greater indirect ownership interest | — | 08/01/2023 |
| WOLF, JACQUES Individual | 5% or greater indirect ownership interest | — | 08/01/2023 |
| MARX, ASHER Individual | corporate director | NOT APPLICABLE | 08/01/2023 |
| WOLF, JACQUES Individual | corporate director | NOT APPLICABLE | 08/01/2023 |
| MARX, ASHER Individual | operational/managerial control | NOT APPLICABLE | 08/01/2023 |
| WOLF, JACQUES Individual | operational/managerial control | NOT APPLICABLE | 08/01/2023 |
| LEFFERT, JOYCE Individual | w-2 managing employee | NOT APPLICABLE | 08/28/2023 |
Other nursing homes near Butler Rehab and Healthcare Center
Medicalodges Butler
103 East Nursery, Butler, MO 64730 · under 1 mi
For-profit · 105 beds · Part of Medicalodges, INC.
★★★★★4Above average- ★★★★★4Above average
- ★★★★★1Much below average
Nathan Richard Health Care Center
700 East Highland Avenue, Nevada, MO 64772 · 27.2 mi
For-profit · 68 beds · Part of Reliant Care Management
★★★★★1Much below averageMeadow View Health & Rehabilitation
2203 East Mechanic Street, Harrisonville, MO 64701 · 27.9 mi
For-profit · 120 beds · Part of Mo Op Holdco, LLC
★★★★★3AverageCrown Rehab and Healthcare Center
3001 East Elm, Harrisonville, MO 64701 · 28 mi
For-profit · 118 beds · Part of Ama Holdings
★★★★★2Below average
Frequently asked questions
What is Butler Rehab and Healthcare Center's rating?
Butler Rehab and Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Butler Rehab and Healthcare Center receive?
Its most recent standard health inspection found 15 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Butler Rehab and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Butler Rehab and Healthcare Center?
It is for profit - limited liability company and part of Ama Holdings. The ownership section on this page lists the owners and managers reported to CMS.
Where is Butler Rehab and Healthcare Center and how do I contact it?
Butler Rehab and Healthcare Center is at 416 S High Street, Butler, MO 64730. Phone: (660) 679-6158.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.