Overview of Medicalodges Butler Medicalodges Butler is a 105-bed skilled nursing facility at 103 East Nursery, Butler, Bates County, Missouri, operated by Medicalodges, Inc. and administered by Misty Brooks. The facility provides skilled nursing care, short-term rehabilitation, long-term care, and dementia and memory care services for Medicare and private-pay residents.
Emergency department visit rates stand at 36.2% of short-stay residents, 170% worse than the average of 13.4%. Falls with major injury during stay affect 2.5% of short-stay residents, 225% worse than the average of 0.8%. Re-hospitalization occurs in 28.8% of short-stay residents discharged, 14% worse than average. Ability to care for self at discharge is achieved in 42.9% of residents, 20% worse than the average of 53.7%.
Hospitalization rates are 1.69/1,000 resident days, 19% better than the Missouri average. Successful return to home or community for short-stay residents is 56.3%, 11% better than average.
Registered Nurses provide 36 minutes/resident/day, 29% above the Missouri average of 28 minutes, representing meaningful clinical strength. Licensed Practical Nurses provide 45 minutes/resident/day, 10% above average. Certified Nursing Aides provide 2 hours 27 minutes/resident/day, 6% above average. Total nursing care reaches 4 hours 19 minutes/resident/day, 14% above the average of 3 hours 48 minutes, ranking 60th among 256 Missouri facilities.
Weekend nursing maintains 3 hours 16 minutes/resident/day, 7% above average. Weekend RN coverage is 18 minutes/resident/day, 10% below the average of 20 minutes.
Long-stay falls with major injury occur in 7.8% of residents, 92% worse than the Missouri average of 4.0%. High-risk long-stay residents with pressure ulcers affect only 1.5%, 70% better than the average of 5.0%. Pneumococcal vaccination reaches 100% of long-stay residents, 17% better than average. Influenza vaccination reaches 96.8%, 7% better than average.
Long-stay emergency department visits are 2.01/1,000 resident days, 14% better than average.
Since 2019, the facility has received 4 health inspections from the Missouri Department of Health and Senior Services, Division of Regulation and Licensure with 12 total citations, substantially below the average of 36.5. All citations are moderate severity; the facility has zero critical or serious violations.
The July 2022 health inspection revealed deficiencies in food safety practices and water-borne pathogen prevention. The March 2024 health inspection cited nutrition, environmental, and resident rights issues. The June 2025 complaint investigation found a pharmacy citation. The trajectory of citations/inspection has remained low and stable.
CMS rates the facility 4 stars overall, placing it 52.1% above the Missouri average. Health Inspection is rated 4/5, 37.9% above average. Staffing is rated 4/5, 85.2% above average. Quality Measures are rated 2/5, 28.3% below average.
Occupancy is 66.3%, ranking 166th out of 262 Missouri facilities and slightly below average. Current census includes 54.3% Medicaid, 8.6% Medicare, and 37.1% private pay or other residents.
Average length of stay is 422 days.
No civil money penalties were reported in the past three years.
Medicalodges Butler offers 24-hour nursing staff, rehabilitation services, and on-site state-approved nurse aide training. Resident amenities include dining accommodations, activities programming, and an active resident council where residents meet regularly to discuss facility policies and quality of life.
Families enrolling short-stay residents for rehabilitation should request detailed explanations of the elevated emergency department visit rates and falls injury rates.
