Butler Rehab and Healthcare Center
416 S High Street · Butler, MO · 64730 · 6606796158
98 certified beds For profit - Limited Liability company Chain: Ama Holdings
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.58 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D February 27, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · E February 27, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · D February 27, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · F February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · E February 27, 2026
Provide and implement an infection prevention and control program.
Corrected March 25, 2026 · Infection Control
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Potential for harm · D November 18, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected November 19, 2025 · Resident Rights
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Potential for harm · E April 29, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D April 5, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected June 4, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 4, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 5, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 5, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 4, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 4, 2024 · Pharmacy Service
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Potential for harm · D April 5, 2024
Provide or obtain dental services for each resident.
Corrected June 4, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Provide and implement an infection prevention and control program.
Corrected June 4, 2024 · Infection Control
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Potential for harm · E April 5, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 4, 2024 · Nursing and Physician Services
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Potential for harm · D August 5, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 15, 2022 · Resident Rights
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Potential for harm · D August 5, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 15, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265275 · certified since March 11, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.