Missouri average 6.6
Last Health inspection on Jun 2025

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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.
Medicalodges Butler is legally operated by Medicalodges, Inc., and administrated by Misty Brooks.
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.
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Jun 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.
11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
No contractors work on this role.
Assists with medical care and medications.
No contractors work on this role.
Helps with daily care and mobility.
No contractors work on this role.
Total hours from contractors
1,291 contractor hours this quarter
| Certified Nursing Assistant | 30 | 0 | 30 | 10,452 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,813 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,845 | 92 | 100% | 9.9 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,769 | 92 | 100% | 7 |
| Registered Nurse | 4 | 0 | 4 | 1,638 | 89 | 97% | 11.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 721 | 67 | 73% | 7.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 570 | 68 | 74% | 3.5 |
| RN Director of Nursing | 1 | 0 | 1 | 482 | 61 | 66% | 7.9 |
| Administrator | 1 | 0 | 1 | 479 | 56 | 61% | 8.6 |
| Dietitian | 1 | 0 | 1 | 468 | 69 | 75% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 432 | 59 | 64% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 405 | 70 | 76% | 5.7 |
| Nurse Practitioner | 2 | 0 | 2 | 401 | 51 | 55% | 7.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 360 | 66 | 72% | 5.2 |
| Qualified Social Worker | 0 | 3 | 3 | 139 | 60 | 65% | 2.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 96 | 35 | 38% | 2.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 66 | 33 | 36% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 34 | 7 | 8% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 5 | 5% | 4.4 |
| Medical Director | 0 | 1 | 1 | 4 | 3 | 3% | 1.2 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
26% of new residents, usually for short-term rehab.
74% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Medicalodges Butler based on CMS SNF Cost Reports.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Butler's city center to Medicalodges Butler's address, calculated via Google Maps.
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Medicalodges Butler is located in BUTLER, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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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).
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Medicalodges Butler is in the USA neighborhood of BUTLER.
The legal owner and operator of Medicalodges Butler is Medicalodges, Inc..
Medicalodges Butler has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Medicalodges Butler's license number is 053486.
According to MO state health department records, Medicalodges Butler's license expires on April 15, 2028.
Misty Brooks is the administrator of Medicalodges Butler.
Medicalodges Butler has 105 beds.
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