BUTLER REHAB AND HEALTHCARE CENTER in Butler, MO has a 1 out of 5 overall rating, with 1-star staffing and quality measures ratings and reported staffing below the federal benchmark (2.99 vs 4.1 hours/resident/day). It has no fines in the last 24 months, but it is flagged for the lowest overall rating and recent inspection citations included fire safety, infection control, and medication storage issues.
Last inspection: November 18, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.991.
Staffing detail
Registered nurses
0.46
Licensed practical nurses
0.66
Nurse aides
1.87
Weekend nursing
2.58
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 89%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.8%Worsening
Residents with a fall causing major injury
1.8%Steady
Residents with pressure ulcers (bedsores)
6.6%Worsening
Residents with a urinary tract infection
0.5%Worsening
Residents who lost too much weight
1.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.2%Improving
Residents whose ability to walk got worse
24.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
32%Worsening
Short-stay residents newly given an antipsychotic
3.9%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
14.6%Improving
Residents with depressive symptoms
88.1%Improving
Long-stay residents given the seasonal flu vaccine
75.8%Steady
Long-stay residents given the pneumonia vaccine
85.3%Steady
Short-stay residents given the seasonal flu vaccine
23.7%Steady
Short-stay residents given the pneumonia vaccine
30%Steady
What the inspectors found
The home failed to ensure enough power was available for lighting entrances and exits and for fire detection, alarm, and extinguisher equipment. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 906 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2019 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited November 2019 — widespread issue, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to make sure residents fully understood their health status, care, and treatments. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 552 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 9 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AMA HOLDINGS · 14 homes · 1.5 stars avg
Occupancy
55.5 residents on an average day (57% of 98 beds)
Resident voice
Resident council
Medicare history
Certified for 41 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.