Total health inspections
4
Missouri average 6.6
Last Health inspection on Apr 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Butler Rehab and Healthcare Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
54.1%
Residents per day (avg)
60
Occupancy rate
54.1%
Residents per day (avg)
60
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
$2.4M
Profit
$1.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.4M
98-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeSnf
CountyBATES
CMS Certification Number265275
Certification TypeMedicare/Medicaid
Butler Rehab and Healthcare Center is administrated by Josh Merriman.
Owner NameBUTLER OPERATOR LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Advanced Rehabilitation
Fine Dining
Recreation & Entertainment
Laundry & Housekeeping
Specific ProgramsServices/Amenities, Careers, Contact
Food DescriptionDining experience with nutritious and diverse options for breakfast, lunch, and dinner, as well as an open snack bar.
Meals IncludedYes
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.
Health Inspection History
Inspections
Total health citations
41
Missouri average 36.5
Citations per inspection
10.25
Missouri average 5.67
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
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
41 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 29, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 29, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 05, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 05, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 05, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 05, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 05, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 05, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Butler Rehab and Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Butler
98
54.1%
-19%
2.39
-36%
0
41
10.3
0
60
-
-
Butler Holdco Llc
$2.4M
$1.4M
56.5%
265275
Good Shepherd Care Community
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
143
Employees
77
Contractors
66
Staff to resident ratio
2.55:1
49% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
33
Average shift
8 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
24,095
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.7%
2,326 contractor hours this quarter
Certified Nursing Assistant: 23
Licensed Practical Nurse: 13
Registered Nurse: 13
Speech Language Pathologist: 7
Physical Therapy Aide: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 29 | 23 | 52 | 9,905 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 13 | 13 | 26 | 4,486 | 91 | 100% | 9.4 |
| Physical Therapist | 9 | 0 | 9 | 3,417 | 91 | 100% | 7 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,554 | 81 | 89% | 9.3 |
| Registered Nurse | 3 | 13 | 16 | 882 | 86 | 95% | 8.8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 738 | 84 | 92% | 5.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 603 | 71 | 78% | 7.9 |
| Administrator | 2 | 0 | 2 | 528 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Speech Language Pathologist | 0 | 7 | 7 | 349 | 56 | 62% | 6.1 |
| Physical Therapy Aide | 0 | 4 | 4 | 267 | 55 | 60% | 3.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 139 | 28 | 31% | 5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 97 | 27 | 30% | 3.3 |
| Qualified Social Worker | 0 | 1 | 1 | 87 | 37 | 41% | 2.4 |
| Medication Aide/Technician | 1 | 0 | 1 | 53 | 5 | 5% | 10.7 |
52 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
9 Physical Therapist
% of Days
100%
9 Nurse Aide in Training
% of Days
89%
16 Registered Nurse
% of Days
95%
7 Other Dietary Services Staff
% of Days
92%
2 Clinical Nurse Specialist
% of Days
78%
2 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
68%
1 RN Director of Nursing
% of Days
68%
7 Speech Language Pathologist
% of Days
62%
4 Physical Therapy Aide
% of Days
60%
2 Physical Therapy Assistant
% of Days
31%
3 Respiratory Therapy Technician
% of Days
30%
1 Qualified Social Worker
% of Days
41%
1 Medication Aide/Technician
% of Days
5%
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
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 averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.4
36% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
33% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.5%
Percent of long-stay residents whose ability to move independently worsened
32.5%
58% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
12% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
44% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.2%
Percent of long-stay high risk residents with pressure ulcers
5.2%
In line with Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
31% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.6%
Percent of long-stay residents who lose too much weight
0.6%
90% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
74.0%
Percent of long-stay residents who have depressive symptoms
74.0%
476% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.3%
Percent of long-stay residents who received an antipsychotic medication
12.3%
44% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.9%
23% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
17% worse than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
22.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
22.7%
66% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
14% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
23.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
23.7%
63% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Butler Rehab and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
54.1%
↓ 4.1pp vs 2022
Net Income
$1.3K
↑ ~$1.2M vs 2022
Total Payroll
$2.0M
↓ ~$414.9K vs 2022
Profit Margin
0.1%
↑ 28.9pp vs 2022
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