Medicalodges Butler

Nursing Home, Adult Day Care, Assisted Living, Home Care, Hospice Care, Memory Care, Palliative Care, Residential Care, Respite Care & Skilled Nursing · Butler, MO

CMS overall rating

Medicalodges Butler

Nursing Home, Adult Day Care, Assisted Living, Home Care, Hospice Care, Memory Care, Palliative Care, Residential Care, Respite Care & Skilled Nursing · Butler, MO

CMS overall rating

103 East Nursery, Butler, MO 64730-2331 View map

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Medicalodges Butler accepts Medicare and private pay.

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Medicalodges Butler accepts Medicare and private pay.

Overview of Medicalodges Butler

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.

Facility Direct Line (660) 679-3179

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

4h 19m per day

vs avg

1 of 6 metrics below state avg

Standout metric LPN / LVN is +36% above 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.	29m per day	▲ 4% 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.	56m per day	▲ 36% 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.	2h 28m per day	▲ 6% 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.	3h 23m per day	▲ 11% 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	▼ 49% 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.	21m per day	▲ 6% State avg: 20m per day · National avg: 28m per day

Capacity and availability

422 days

105-bed community

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

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

65%

Similar to the Missouri average: 66.6%

Occupied beds

68 / 105

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceApril 16, 2026

ExpirationApril 15, 2028

CountyBates

License Number053486

Certification TypeMedicare / Medicaid

Medicalodges Butler is legally operated by Medicalodges, Inc., and administered by Misty Brooks.

Corporate EntityMEDICALODGES, INC

Owner NameMedicalodges, Inc

Skilled Nursing Facility

105 units

Total beds

105 units

Rehabilitation Services

Dedicated Alzheimer's Unit

Dementia/Memory Care

Since 2018 · 8 years of data 99 deficiencies 11 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 June 5, 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.	99	35	This facility has 183% more total deficiencies than a typical Missouri assisted living residence (99 vs. MO avg 35).↑ 183% worse
Deficiencies per year Average deficiencies per year since 2018.	12.4	4.4	This facility has 182% more deficiencies per year than a typical Missouri assisted living residence (12.4 vs. MO avg 4.4).↑ 182% worse
Deficiencies per inspection Average deficiencies per inspection.	9	2.9	This facility has 210% more deficiencies per inspection than a typical Missouri assisted living residence (9 vs. MO avg 2.9).↑ 210% 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.	11	12	This facility has had 8% fewer total inspections than the Missouri average (11 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 8% fewer

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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.

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

12 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Pharmacy moderate citation Jun 05, 2025

Corrected

Environmental moderate citation Mar 29, 2024

Corrected

Environmental moderate citation Mar 29, 2024

Corrected

Nutrition moderate citation Mar 29, 2024

Corrected

Total staff 86

Employees 67

Contractors 19

Staff to resident ratio 1.23 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36

Average shift 7.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,196

Nursing staff breakdown

11.1 hours

9.7 hours

7.7 hours

Contractor staffing

1,291 contractor hours this quarter

Physical Therapy Aide: 4 Speech Language Pathologist: 4 Physical Therapy Assistant: 4 Qualified Social Worker: 3 Occupational Therapy Aide: 1 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


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

30 Certified Nursing Assistant

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 100%

5 Nurse Aide in Training

% of Days 100%

4 Registered Nurse

% of Days 97%

2 Clinical Nurse Specialist

% of Days 73%

4 Physical Therapy Aide

% of Days 74%

1 RN Director of Nursing

% of Days 66%

1 Administrator

% of Days 61%

1 Dietitian

% of Days 75%

1 Dental Services Staff

% of Days 64%

2 Other Dietary Services Staff

% of Days 76%

2 Nurse Practitioner

% of Days 55%

4 Speech Language Pathologist

% of Days 72%

3 Qualified Social Worker

% of Days 65%

1 Respiratory Therapy Technician

% of Days 38%

4 Physical Therapy Assistant

% of Days 36%

1 Occupational Therapy Aide

% of Days 8%

1 Occupational Therapy Assistant

% of Days 5%

1 Medical Director

% of Days 3%

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 8.0

27% better than State average

State average: 10.9

Functional decline score 15.9

18% better than State average

State average: 19.5

Long-stay resident measures

Above average

Need for Help with Daily Activities Increased 17.5%

11% better than State average

State average: 19.8%

Walking Ability Worsened 9.8%

52% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.5%

13% worse than State average

State average: 18.1%

Falls with Major Injury 7.8%

92% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 1.5%

70% better than State average

State average: 5.0%

Urinary Tract Infection 3.3%

22% worse than State average

State average: 2.7%

Lost Too Much Weight 3.2%

42% better than State average

State average: 5.6%

Depressive Symptoms 1.4%

89% better than State average

State average: 12.8%

Antipsychotic Use 8.2%

63% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 96.8%

7% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.69

19% better than State average

State average: 2.08

ED visits per 1,000 days 2.01

14% better than State average

State average: 2.35

Short-stay resident measures

Significantly below average

Pneumococcal Vaccine 94.3%

42% better than State average

State average: 66.6%

Antipsychotic medication increase 2.2%

In line with State average

State average: 2.2%

Influenza Vaccine 94.9%

49% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 28.8%

14% worse than State average

State average: 25.3%

Emergency department visits 36.2%

170% worse than State average

State average: 13.4%

Falls with major injury 2.5%

225% worse than State average

State average: 0.8%

Ability to care for self at discharge 42.9%

20% worse than State average

State average: 53.7%

Successful return to home or community 56.3%

11% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

74% of new residents, often for short stays.

Typical stay 5 - 6 months

Total residents 70

Medicare

8.6% of residents

Medicaid

54.3% of residents

Private pay or other

37.1% of residents

Programs & Services

Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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 Medicalodges Butler from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 10/2023.

Occupancy Rate 66.3% ↑ 3.3pp vs 2022

Net Patient Income $332.2K ↑ ~$362.1K vs 2022

Payroll Costs $3.4M ↑ ~$43.0K vs 2022

Operating Margin 5.2% ↑ 5.7pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	62.5%	71.2%	3.9%	65.4%	67.1%	64.3%	64.9%	62.2%	57.7%	64.2%	63.0%	66.3%
Beds	110	110	110	110	110	110	110	110	110	110	110	110
Net Income	-$32,643	$402,936	$225,915	$374,101	$405,078	$410,343	$339,491	$195,122	$61,760	$314,524	$29,906	$389,387
Gross Revenue	$4,598,278	$4,835,509	$4,667,480	$5,002,784	$5,145,757	$5,195,902	$5,408,265	$5,620,101	$5,027,676	$5,625,118	$5,542,048	$6,114,260
Operating Expenses	$4,492,454	$4,481,940	$4,445,303	$4,468,392	$4,421,369	$4,490,413	$4,682,347	$4,948,338	$5,020,084	$5,377,721	$5,504,682	$6,069,252
Net Patient Income	-$88,971	$331,005	$161,038	$327,566	$388,142	$390,081	$308,383	$167,264	-$223,265	$4,809	-$29,860	$332,222
Net Patient Revenue	$4,403,483	$4,812,945	$4,606,341	$4,795,958	$4,809,511	$4,880,494	$4,990,730	$5,115,602	$4,796,819	$5,382,530	$5,474,822	$6,401,474
Payroll Costs	$2,669,262	$2,571,615	$2,617,634	$2,599,096	$2,662,528	$2,711,388	$2,852,787	$3,033,445	$3,092,061	$3,341,059	$3,393,244	$3,436,224
Operating Margin %	-2.0%	6.9%	3.5%	6.8%	8.1%	8.0%	6.2%	3.3%	-4.7%	0.1%	-0.6%	5.2%
Medicare %	7.8%	8.0%	100.0%	5.4%	3.4%	6.2%	6.5%	4.7%	6.5%	6.7%	6.5%	7.3%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%
Private %	92.2%	92.0%	0.0%	94.6%	96.6%	93.8%	93.5%	95.3%	93.5%	93.3%	93.5%	92.7%
Net Patient Revenue/Day	$175	$168	$2,951	$183	$178	$189	$192	$205	$207	$209	$216	$241
Cost/Day	$178	$157	$2,848	$170	$164	$174	$180	$198	$216	$209	$218	$228
Avg Length of Stay	254.3 days	288.5 days	47.3 days	236.7 days	306.8 days	180.5 days	230.5 days	174.7 days	276.4 days	218.6 days	116.0 days	422.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 10/2023.

Net patient revenue

$6.4M

Net patient income

$332.2K

For-profit Corporation

Net patient revenue

$6.4M

Net patient income

$332.2K

Other income

$57.2K

Payroll costs

$3.4M 53.7% of net patient revenue

Other operating costs

$2.6M

Total costs

$6.1M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (74% of admissions), and a typical private pay stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 26%

Private pay 74%

Coverage residents most often leave under.

Medicare 48%

Private pay 52%

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


Country Meadows	NH AL IL MC	Park Hills	-	87	A+	37	-
Golden Age Living Center	NH AL	Stover	-	61	-	38	-
Ignite Medical Resort Blue Springs	NH PC SNF	Blue Springs	-	90	-	68	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
Medicalodges Butler	NH ADC AL HC HOS MC PC RESC RC SNF	Butler	-	105	-	53	-

Nursing Home Explorer

What neighborhood is Medicalodges Butler in?

Medicalodges Butler is in the USA neighborhood of BUTLER.

Who is the owner of Medicalodges Butler?

Medicalodges Butler is legally operated by Medicalodges, Inc., and administered by Misty Brooks.

Is Medicalodges Butler in a walkable area?

Medicalodges Butler 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 Medicalodges Butler?

According to MO state health department records, Medicalodges Butler's license number is 053486.

When does Medicalodges Butler's license expire?

According to MO state health department records, Medicalodges Butler's license expires on April 15, 2028.

What is the occupancy rate at Medicalodges Butler?

Medicalodges Butler's occupancy is 65%.

Does Medicalodges Butler operate as a for-profit or non-profit?

Medicalodges Butler is registered as a for-profit in MO.

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Medicalodges Butler

Overview of Medicalodges Butler

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Memory & Specialized Care

Additional Services

Contact Medicalodges Butler

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.

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

30 Certified Nursing Assistant

13 Licensed Practical Nurse

5 Medication Aide/Technician

5 Nurse Aide in Training

4 Registered Nurse

2 Clinical Nurse Specialist

4 Physical Therapy Aide

1 RN Director of Nursing

1 Administrator

1 Dietitian

1 Dental Services Staff

2 Other Dietary Services Staff

2 Nurse Practitioner

4 Speech Language Pathologist

3 Qualified Social Worker

1 Respiratory Therapy Technician

4 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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