Butler Rehab and Healthcare Center

Nursing Home & Skilled Nursing · Butler, MO

CMS overall rating

416 South High St, Butler, MO 64730-1827 View map

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Butler Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay.

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Butler Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay.

Overview of Butler Rehab and Healthcare Center

Daily routines at Butler Rehab and Healthcare Center are organized by administrator Brent Lawler, operating under Butler Operator LLC and owner Butler Holdco LLC. Located on South High Street in Butler, Missouri, this 98-bed community coordinates its financial services through standard billing networks, processing private accounts alongside Medicaid and Medicare coverage. Visitors planning an entry path will find a downtown setting with a walkability score of 53 out of 100, meaning you can handle a few minor errands on foot, though a vehicle remains necessary for general transit.

The operational layout indicates an average length of stay around 117 days, reflecting a daily program tuned for post-hospital recovery pathways and short-term rehabilitation. To manage active clinical protocols, the 24-hour shift framework provides an average of 2 hours and 23 minutes of direct nursing care per resident each day. This hands-on monitoring relies on a rotating staff of registered nurses, practical nurses, and certified aides to guide therapeutic targets.

Recent official reviews have evaluated core administrative areas, including care planning, medication management, infection control, resident privacy, employee background checks, and kitchen food safety, keeping the total citation rate above zero.

Interested individuals can evaluate the short-term recovery programs, therapy spaces, and shared entertainment lounges. The internal schedule balances physical and occupational therapies with complete meal services, an open snack bar, and regular recreational activities.

Facility Direct Line (660) 679-6158 admissions@butlerhc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 23m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	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.	28m per day	■ Avg 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.	40m per day	▼ 3% 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 52m per day	▼ 19% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 35m per day	▼ 15% 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	▼ 55% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	19m per day	▼ 4% State avg: 20m per day · National avg: 28m per day

Capacity and availability

117 days

98-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

56%

Lower than the Missouri average: 66.6%

Occupied beds

55 / 98

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceApril 1, 2025

ExpirationMarch 31, 2027

CountyBates

License Number052592

CMS Certification Number265275

Certification TypeMedicare / Medicaid

Butler Rehab and Healthcare Center is legally operated by Butler Operator LLC, and administered by Brent Lawler.

Corporate EntityBUTLER OPERATOR LLC

Owner NameButler Operator LLC

Skilled Nursing Facility

98 units

Total beds

98 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Dedicated Alzheimer's Unit

Pets not allowed

Advanced Rehabilitation

Fine Dining

Recreation & Entertainment

Laundry & Housekeeping

Since 2018 · 8 years of data 147 deficiencies 13 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection November 18, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	147	35	This facility has 320% more total deficiencies than a typical Missouri assisted living residence (147 vs. MO avg 35).↑ 320% worse
Deficiencies per year Average deficiencies per year since 2018.	18.4	4.4	This facility has 318% more deficiencies per year than a typical Missouri assisted living residence (18.4 vs. MO avg 4.4).↑ 318% worse
Deficiencies per inspection Average deficiencies per inspection.	11.3	2.9	This facility has 290% more deficiencies per inspection than a typical Missouri assisted living residence (11.3 vs. MO avg 2.9).↑ 290% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	13	12	This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

November 18, 2025 complaint investigation found the facility discharged a cognitively intact resident to a homeless shelter without proper documentation or consent.
April 5, 2024 annual inspection cited nine deficiencies including incomplete staff background checks, inadequate care planning, and failure to act on pharmacist drug regimen reviews.
November 21, 2019 routine inspection found 16 deficiencies involving medication management, infection control, resident privacy, and food safety practices.

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

10.25

State average N/A

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 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

41 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 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

Total staff 94

Employees 66

Contractors 28

Staff to resident ratio 1.68 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 29

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,201

Nursing staff breakdown

8.5 hours

9.9 hours

8.9 hours

Contractor staffing

1,146 contractor hours this quarter

Licensed Practical Nurse: 7 Speech Language Pathologist: 6 Registered Nurse: 4 Physical Therapy Aide: 3 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Medication Aide/Technician: 2 Certified Nursing Assistant: 1 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	23	1	24	8,364	92	100%	8.9
Physical Therapist	12	0	12	3,722	92	100%	7
Licensed Practical Nurse	9	7	16	2,903	91	99%	9.9
Registered Nurse	5	4	9	1,208	78	85%	8.5
Nurse Aide in Training	7	0	7	1,110	79	86%	9.8
Other Dietary Services Staff	4	0	4	749	85	92%	4.9
Clinical Nurse Specialist	1	0	1	608	78	85%	7.8
Nurse Practitioner	1	0	1	531	67	73%	7.9
Administrator	2	0	2	480	59	64%	8
Physical Therapy Aide	0	3	3	477	67	73%	6.9
RN Director of Nursing	1	0	1	472	59	64%	8
Speech Language Pathologist	0	6	6	235	47	51%	4.8
Physical Therapy Assistant	0	2	2	114	30	33%	3.8
Qualified Social Worker	0	1	1	80	41	45%	1.9
Respiratory Therapy Technician	0	2	2	77	27	29%	2.8
Medication Aide/Technician	1	2	3	73	7	8%	10.4

24 Certified Nursing Assistant

% of Days 100%

12 Physical Therapist

% of Days 100%

16 Licensed Practical Nurse

% of Days 99%

9 Registered Nurse

% of Days 85%

7 Nurse Aide in Training

% of Days 86%

4 Other Dietary Services Staff

% of Days 92%

1 Clinical Nurse Specialist

% of Days 85%

1 Nurse Practitioner

% of Days 73%

2 Administrator

% of Days 64%

3 Physical Therapy Aide

% of Days 73%

1 RN Director of Nursing

% of Days 64%

6 Speech Language Pathologist

% of Days 51%

2 Physical Therapy Assistant

% of Days 33%

1 Qualified Social Worker

% of Days 45%

2 Respiratory Therapy Technician

% of Days 29%

3 Medication Aide/Technician

% of Days 8%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 13.4

22% worse than State average

State average: 10.9

Functional decline score 26.4

36% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 26.3%

33% worse than State average

State average: 19.8%

Walking Ability Worsened 32.5%

58% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.4%

12% worse than State average

State average: 18.1%

Falls with Major Injury 2.3%

44% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 5.2%

In line with State average

State average: 5.0%

Urinary Tract Infection 1.9%

31% better than State average

State average: 2.7%

Lost Too Much Weight 0.6%

90% better than State average

State average: 5.6%

Depressive Symptoms 74.0%

476% worse than State average

State average: 12.8%

Antipsychotic Use 12.3%

44% better than State average

State average: 22.0%

Pneumococcal Vaccine 65.9%

23% worse than State average

State average: 85.2%

Influenza Vaccine 75.8%

17% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 3.31

59% worse than State average

State average: 2.08

ED visits per 1,000 days 3.91

66% worse than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 22.7%

66% worse than State average

State average: 66.6%

Antipsychotic medication increase 2.5%

14% worse than State average

State average: 2.2%

Influenza Vaccine 23.7%

63% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 30.0%

19% worse than State average

State average: 25.3%

Emergency department visits 18.2%

36% worse than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 37.5%

30% worse than State average

State average: 53.7%

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

Total residents 56

Medicare

16.1% of residents

Medicaid

75% of residents

Private pay or other

8.9% of residents

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.

Financial Trends

Historical financial and operational data for Butler Rehab and Healthcare Center from 2011–2022, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 07/2022 — the home's most recent complete cost report, an older period than most facilities report.

Occupancy Rate 58.2% ↑ 3.5pp vs 2021

Net Patient Income -$1.2M ↓ ~$428.7K vs 2021

Payroll Costs $2.2M ↑ ~$43.3K vs 2021

Operating Margin -25.9% ↓ 6.9pp vs 2021

Metric	2011	2012	2013	2014	2016	2018	2019	2020	2021	2022
Occupancy %	52.2%	54.2%	55.5%	53.6%	56.0%	42.3%	49.1%	54.2%	54.7%	58.2%
Beds	96	96	96	98	98	98	98	98	98	98
Net Income	$187,985	-$281,823	-$200,361	-$287,455	$195,194	-$1,084,910	-$1,102,678	-$764,535	-$500,172	-$1,238,173
Gross Revenue	$4,872,851	$4,874,679	$4,477,360	$4,817,783	$4,100,327	$3,642,889	$3,932,529	$4,273,340	$4,056,871	$4,292,604
Operating Expenses	$3,909,955	$4,243,653	$3,791,293	$3,983,723	$3,967,750	$4,227,426	$4,684,500	$5,118,966	$4,864,616	$5,864,635
Net Patient Income	$187,052	-$282,758	-$202,134	-$292,611	$132,577	-$1,086,812	-$1,095,847	-$927,674	-$778,129	-$1,206,819
Net Patient Revenue	$4,097,007	$3,960,895	$3,589,159	$3,691,112	$4,100,327	$3,140,614	$3,588,653	$4,191,292	$4,086,487	$4,657,816
Payroll Costs	$2,222,813	$2,290,428	$1,997,221	$2,037,024	$1,891,633	$1,971,533	$1,783,152	$2,190,767	$2,184,357	$2,227,655
Operating Margin %	4.6%	-7.1%	-5.6%	-7.9%	3.2%	-34.6%	-30.5%	-22.1%	-19.0%	-25.9%
Medicare %	20.0%	16.1%	10.4%	10.9%	9.9%	12.2%	9.2%	7.5%	7.0%	10.0%
Medicaid %	47.6%	49.1%	52.4%	45.6%	55.2%	52.0%	79.4%	79.0%	81.9%	74.5%
Private %	32.4%	34.8%	37.2%	43.4%	34.9%	35.8%	11.4%	13.5%	11.1%	15.6%
Net Patient Revenue/Day	$224	$208	$185	$193	$204	$207	$204	$216	$209	$224
Cost/Day	$214	$223	$195	$208	$197	$279	$267	$263	$249	$282
Avg Length of Stay	85.9 days	83.5 days	95.8 days	95.3 days	97.1 days	96.4 days	101.6 days	89.6 days	112.4 days	163.9 days

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 07/2022. This is an older period than most facilities report, so compare with that in mind.

Net patient revenue

$4.7M

Net patient income

-$1.2M

For-profit Operated by a single business entity.

Net patient revenue

$4.7M

Net patient income

-$1.2M

Payroll costs

$2.2M 47.8% of net patient revenue

Other operating costs

$3.6M

Total costs

$5.9M

TYPE OF STAY

Mostly long-term care residents

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

New residents most often arrive under Medicaid (43% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 25%

Private pay 32%

Medicaid 43%

Coverage residents most often leave under.

Medicare 19%

Private pay 27%

Medicaid 54%

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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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
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Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Butler Rehab and Healthcare Center	NH SNF	Butler	-	98	-	53	-

Nursing Home Explorer

What neighborhood is Butler Rehab and Healthcare Center in?

Butler Rehab and Healthcare Center is in the USA neighborhood of BUTLER.

Who is the owner of Butler Rehab and Healthcare Center?

Butler Rehab and Healthcare Center is legally operated by Butler Operator LLC, and administered by Brent Lawler.

Is Butler Rehab and Healthcare Center in a walkable area?

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.

What is the license number of Butler Rehab and Healthcare Center?

According to MO state health department records, Butler Rehab and Healthcare Center's license number is 052592.

When does Butler Rehab and Healthcare Center's license expire?

According to MO state health department records, Butler Rehab and Healthcare Center's license expires on March 31, 2027.

What is the occupancy rate at Butler Rehab and Healthcare Center?

Butler Rehab and Healthcare Center's occupancy is 56%.

Are pets allowed at Butler Rehab and Healthcare Center?

No, Butler Rehab and Healthcare Center has a no-pet policy.

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Butler Rehab and Healthcare Center

Overview of Butler Rehab and Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Memory & Specialized Care

Additional Policies & Features

Amenities & Lifestyle

Contact Butler Rehab and Healthcare Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

24 Certified Nursing Assistant

12 Physical Therapist

16 Licensed Practical Nurse

9 Registered Nurse

7 Nurse Aide in Training

4 Other Dietary Services Staff

1 Clinical Nurse Specialist

1 Nurse Practitioner

2 Administrator

3 Physical Therapy Aide

1 RN Director of Nursing

6 Speech Language Pathologist

2 Physical Therapy Assistant

1 Qualified Social Worker

2 Respiratory Therapy Technician

3 Medication Aide/Technician

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Butler Rehab and Healthcare Center

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