Nursing Home

Butler Rehab and Healthcare Center

Nursing Home

Butler Rehab and Healthcare Center

BUTLER, MO 64730-1827 View map
Overview of Butler Rehab and Healthcare Center
Butler Rehab and Healthcare Center is a compassionate and nurturing healthcare facility that prioritizes the well-being of its residents. It offers exceptional care, personalized rehabilitation programs, and a warm, inviting environment. The facility is dedicated to helping residents recover, regain strength, and enhance their overall well-being.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Missouri average: 2.6/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Missouri average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Missouri average: 2.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
2h 23m per day

This home provides 37% less nursing time per resident than the Missouri average.

Missouri average: 3h 49m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 98

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 54.1%
Residents per day (avg) 60
Occupancy rate
54.1%
Residents per day (avg)
60

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

43% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Finances and operations

Privately-owned community
Home revenue
$2.4M
Profit
$1.3K
Privately-owned community
Home revenue
$2,409,236.00
Profit
$1,339.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
56.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.0M
Total costs $2.4M
Bed community size
98-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License details

Facility type
Snf
County: BATES

Additional licensing details

CMS Certification Number: 265275
Certification type: Medicare/Medicaid

Ownership & operating entity

Butler Rehab and Healthcare Center is administrated by JOSH MERRIMAN.

Owner name: BUTLER OPERATOR LLC

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services

Amenities & Lifestyle

Advanced rehabilitation
fine dining
recreation & entertainment
laundry & housekeeping

Programs & Activities

Specific Programs
Services/Amenities, Careers, Contact

Dining & Nutrition

Food Description
Dining experience with nutritious and diverse options for breakfast, lunch, and dinner, as well as an open snack bar.
Meals Included
Yes

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Health Inspection History

Inspections
Total health inspections 4

Missouri average 6.6


Last Health inspection on Apr 2025

Total health citations 41
Citations per inspection
10.25

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

40 of 41 citations resulted from standard inspections; and 1 of 41 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

41 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Resident Rights moderate citation Apr 29, 2025
Corrected

Abuse/Neglect moderate citation Apr 05, 2024
Corrected

Infection Control moderate citation Apr 05, 2024
Corrected

Nursing Services moderate citation Apr 05, 2024
Corrected

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Places of interest near Butler Rehab and Healthcare Center

Address 0.0 miles from city center

Address BUTLER, MO 64730-1827

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

143
Total Staff
77
Employees
66
Contractors
24,095
Total Hours (Quarter)
33
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse168.8 Yes
Licensed Practical Nurse269.4 Yes
Certified Nursing Assistant528.8 Yes
Staff by Category
Administration
2 staff
8hs shift avg
Nursing Staff
105 staff
8.9hs shift avg
Physicians & Practitioners
3 staff
8hs shift avg
Therapy Services
25 staff
6.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
2.4hs shift avg
Dietary Services
7 staff
5.4hs shift avg
Other Services
0 staff
0hs shift avg
Contractor Analysis
9.7%
of total hours from contractors
2,326 contractor hours this quarter
Certified Nursing Assistant: 23 Licensed Practical Nurse: 13 Physical Therapy Aide: 4 Qualified Social Worker: 1 Speech Language Pathologist: 7 Registered Nurse: 13 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 3
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant2923529,90591100%8.8
Licensed Practical Nurse1313264,48691100%9.4
Physical Therapist9093,41791100%7
Nurse Aide in Training9091,5548189%9.3
Registered Nurse313168828695%8.8
Other Dietary Services Staff7077388492%5.4
Clinical Nurse Specialist2026037178%7.9
Administrator2025286571%8
Nurse Practitioner1014966268%8
RN Director of Nursing1014966268%8
Speech Language Pathologist0773495662%6.1
Physical Therapy Aide0442675560%3.5
Physical Therapy Assistant0221392831%5
Respiratory Therapy Technician033972730%3.3
Qualified Social Worker011873741%2.4
Medication Aide/Technician1015355%10.7

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
56 residents
Residents by payment source
Medicare
9 residents (16.1%)
Medicaid
42 residents (75%)
Private pay or other
5 residents (8.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.4
22% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 26.4
36% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.3%
33% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 32.5%
58% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.4%
12% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.3%
44% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.2%
In line with Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.9%
31% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.6%
90% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 74.0%
476% worse than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.3%
44% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 65.9%
23% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 75.8%
17% worse than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 22.7%
66% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
14% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 23.7%
63% worse than Missouri average

Missouri average: 63.5%

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Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.