Nursing home · Butler, MO
Butler Rehab and Healthcare Center
416 S High Street, Butler, MO 64730 · 98 certified beds · for profit ownership · part of Ama Holdings
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 29, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Feb 27, 2026) it had 15 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.36 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.31 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 74% over the past year, 18 points higher than Missouri (56%) and 28 points higher than the U.S. (46%).
How Butler Rehab and Healthcare Center compares
This home's latest CMS figures next to the averages for Nevada-area homes (16), Missouri (487) and the U.S. (14,680).
| This home | Nevada area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.36 | 3.35 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.31 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.93 | 2.93 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 74% | 52% | 56% | 46% |
| Registered nurse turnover (past year) | 71% | 44% | 48% | 43% |
| Citations at the most recent standard inspection | 15 | 11.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 35 of 35 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 29, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Jun 29, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | 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 | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Feb 27, 2026 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 27, 2026 | 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 | E | Deficient, Provider has date of correction |
| Feb 27, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Nov 18, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Apr 29, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident rights · complaint | E | Past Non-Compliance |
| Apr 5, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Provide or obtain dental services for each resident. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | 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 | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | 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 | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | 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 | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | 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 | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | 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 | E | Deficient, Provider has date of correction |
| Aug 5, 2022 | Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Environmental | F | Deficient, Provider has date of correction |
| Aug 5, 2022 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Aug 5, 2022 | 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 | E | Deficient, Provider has date of correction |
| Aug 5, 2022 | 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 | E | Deficient, Provider has date of correction |
| Aug 5, 2022 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Aug 5, 2022 | 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 | D | Deficient, Provider has date of correction |
| Aug 5, 2022 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Aug 5, 2022 | 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 | D | Deficient, Provider has date of correction |
| Aug 5, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 5, 2022 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Butler Rehab and Healthcare Center
Answers computed from CMS data for this facility.
What is Butler Rehab and Healthcare Center's Medicare rating?
Medicare rates Butler Rehab and Healthcare Center 1 out of 5 stars overall (much below average). The average for Nevada-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.
How did Butler Rehab and Healthcare Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 29, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Feb 27, 2026) it had 15 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.
Has Butler Rehab and Healthcare Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Butler Rehab and Healthcare Center accept Medicaid?
Butler Rehab and Healthcare Center is certified for both Medicare and Medicaid. Call (660) 679-6158 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.