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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 223rd out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ▼ 14% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▲ 24% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 57m per day | ▼ 16% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 44m per day | ▼ 10% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▲ 5% State avg: 20m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
25% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
43% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #221 / 245Payroll — state benchmarkedThis home is ranked 221st out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%Butler Rehab and Healthcare Center is legally operated by Butler Operator Llc, and administrated by Josh Merriman.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
The data displayed corresponds to the last 8 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
Missouri average 6.6
Last Health inspection on Apr 2025
Missouri average 36.5
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.
100% better than Missouri averageMissouri average: 0.7
0
100% better than Missouri averageMissouri average: 1
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 29, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 05, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 05, 2024
Corrected
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.
Butler Rehab and Healthcare Center is located in BUTLER, Missouri.
Here are the financial assistance programs available to residents in Missouri.
0.0 miles from city center
Estimated distance in miles from BUTLER's city center to Butler Rehab and Healthcare Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
49% better than Missouri averageMissouri average ratio: 1.71:1
0% compared with Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
Total hours from contractors
2,326 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
33% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
32.5%
58% worse than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
44% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
5.2%
In line with Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.9%
31% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
0.6%
90% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
74.0%
476% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
12.3%
44% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.9%
23% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
17% worse than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.31
59% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.91
66% worse than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
22.7%
66% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
14% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
23.7%
63% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.0%
19% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.2%
36% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
37.5%
30% worse than Missouri averageMissouri average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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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 | -32% | +39% | 0 | 9 | 2.3 | - | 34 | 89 | Ashfield Active Living And Wellness Communities, Inc. | $30.1M | $7.2M | 23.8% | 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 | +42% | -2% | 0 | 10 | 3.3 | - | 54 | 5 | Chance, Don | $5.2M | $2.3M | 43.7% | 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 (Usa) | 98 | 54.1% | -19% | 2.39 | +43% | -36% | 0 | 41 | 10.3 | - | 60 | 53 | Butler Holdco Llc | $2.4M | $1.4M | 56.4% | 265275 | ||||
| Good Shepherd Care Community | - |
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.
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.
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 | 20 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| 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 | 10 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | 65 | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
Historical financial and operational data for Butler Rehab and Healthcare Center based on CMS SNF Cost Reports.
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Butler Rehab and Healthcare Center is in the USA neighborhood of BUTLER.
The legal owner and operator of Butler Rehab and Healthcare Center is Butler Operator Llc.
Butler Rehab and Healthcare Center has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Josh Merriman is the administrator of Butler Rehab and Healthcare Center.
Butler Rehab and Healthcare Center has 98 beds.
Yes — there are 13 photos of Butler Rehab and Healthcare Center in the photo gallery on this page.
Butler Rehab and Healthcare Center is located at 416 SOUTH HIGH ST.
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