Medicalodges Butler

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 47 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 35.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 105 beds and averages 58.9 residents a day — about 56% occupied, or roughly 46 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.67 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.54 hrs/resident/day on weekends vs 4.38 on weekdays — 19% thinner on weekends. RN hours go from 0.54 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Ecited before2025-09-05 · tag F0923 — pattern
  Have enough outside ventilation via a window or mechanical ventilation, or both.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to maintain required negative airflow in the following areas: The South Hall Soiled Utility Room, resident rooms 132, 130 and 128. This practice potentially affected at least 10 residents who resided on the [NAME] Short Hall where the South soiled utility room was located and rooms on the South Hall. The facility census was 65 residents.Note: Air flow was tested by holding one piece of tissue paper to the ceiling vent. If the paper was drawn to the vent, then negative air flow was present; if the paper fell, then negative airflow was absent. Observations on 9/4/25 with the Maintenance Supervisor showed:-At 11:53 A.M., there was the absence of negative airflow in the South side soiled utility room. -At 1:13 P.M., there was the absence of negative airflow in resident room [ROOM NUMBER].-At 1:21 P.M., there was the absence of negative airflow in resident room [ROOM NUMBER].-At 1:27 P.M., there was the absence of negative airflow in resident room [ROOM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-05 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain the attic areas over the short [NAME] Hall, and the attic area over the South Hall free from openings that could allow pests into the attic areas and failed to maintain those attic areas free from numerous animal droppings (the waste product of animals). This practice potentially affected 17 residents who resided on or used those halls. The facility census was 65 residents.1. Observation on 9/3/25 at 12:34 P.M., with the Maintenance Supervisor, showed a 15 inch (in.) long by 1 in. wide opening along the outer wall of the attic above the short [NAME] Hall along with numerous amounts of animal droppings in that attic area. Observation on 9/3/25 at 12:46 P.M., with the Maintenance Supervisor showed a 15 in. long by 3 in. wide opening on the outer wall of the attic area above the south Hall along with numerous amounts of animal droppings in that attic area.During an interview on 9/3/25 at 12:21 P.M., the Administrator said:-The attic areas were checked monthly, when the previous maintenance person was employed at the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to invite two residents (Resident #7 and Resident #55) to care plan meetings out of 16 sampled residents. The facility census was 63 residents. A policy was requested from the facility for care plan meetings and was not provided. Review of the undated Care Plan Invitation Form showed:-A place for the residents' name.-Three boxes in which one would be checked for if the person invited would be:-Attending in person.-Join in by telephone.-If neither the resident, nor family member would be in attendance. 1. Review of Resident #7's admission record showed the resident was admitted to the facility on [DATE]. Review of the resident's care plan dated 6/19/24 showed:-The resident needed partial to maximum assistance with:--For transfers.--With dressing.-Needed partial assistance with ambulation.-Was at risk for falls.--Needed assistance for:--Going to the bathroom.--Getting ready for the day.--Going to and coming from the dining room.-Being monitored for side…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a prompt resolution to a grievance filed by one sampled resident (Resident #55) out of 16 sampled residents. The facility census was 65 residents.Review of the facility's policy titled Grievances dated June 2019 showed:-The facility created the policy to ensure the prompt resolution of grievances.-Grievances may include those with respect to care and treatment, behavior of staff and other residents, and any other concerns a resident may have.-Residents and others could expect contact from the facility's Grievance Officer typically within seven to ten days following the voicing of a grievance.-There was not specific time frame in the policy related to the timing of the resolution of the grievance.1.Review of Resident #55's quarterly Minimum Data Set (MDS- a federally mandated assessment instrument completed by facility staff for care planning) dated 6/6/25 showed the resident was cognitively intact.Review of the resident's grievance dated 7/14/25 showed:-The incident date was unknown.-The resident's sons stated that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify the Ombudsman of a planned discharge for one resident (Resident #77) out of 16 sampled residents and three closed records. The facility census was 63 residents.A policy was requested from the facility for Ombudsman notification and was not provided. 1. Review of Resident #77's admission record showed the resident was admitted to the facility on [DATE]. Review of the resident's care plan dated 7/12/25 showed:-The resident was admitted for skilled nursing services for a fall with a fractured hip.-The plan was to discharge home.Review of the resident's Progress notes dated 7/18/25 showed:-The resident was discharged home.-The resident was alert and oriented and able to make decisions. -The resident was safe to discharge home. Review of the resident's Discharge Minimum Data Set (MDS - a federally mandated assessment tool used by facilities for care planning), dated 8/2/25, showed:-Short term memory was ok.-Was independent in making decision…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to identify and direct the care of one sampled resident's (Resident #38) cardiac pacemaker (a small battery-operated device surgically implanted in the body to deliver electrical pulses to help the heartbeat at a normal rate and rhythm), and failed to develop a policy to direct staff responsibilities involved in the care of residents with pacemakers and/or implanted medical devices out of 16 sampled residents. The facility census was 65 residents. A pacemaker policy was requested and not received. 1. Record review of Resident #38's hospital referral information, page nine of six, dated 6/10/25 showed a past surgical history of pacemaker implantation. Review of the resident's electronic medical record (EMR) showed:-He/She was admitted to the facility on [DATE].-He/She had a diagnosis of presence of cardiac pacemaker, dated 6/12/2025. Review of the resident's licensed nurse's admission assessment dated [DATE] showed he/she had a cardiac…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to follow a Registered Dietician (RD) supplement recommendation for one sampled resident (Resident #65) out of 16 sampled residents. The facility census was 65 residents.Review of the facility's policy titled Fortified Foods (items prepared in house that provide additional calories and/or protein and are not required to be ordered by the physician), Two Calorie Med Pass (commercially prepared product designed to provide two calories per one milliliter (ml) and be distributed with the medication pass ordered by the physician), Other Supplements and Snacks dated May 2019 showed:-Residents who were at risk or with poor nutritional intake, declining intake, weight loss, and/or pressure ulcers would be referred to the RD.-The RD would determine if a resident required nutritional intervention or increased oral intake and select appropriate types on interventions.-The RD would document the need for interventions and initiate orders for any that required physician's approval before usage and update the care plan as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to administer the correct insulin Lantus (a long acting insulin)10 units but instead gave the resident Novalog (fast acting insulin) 10 units at 8:00 P.M., to one sampled resident (Resident # 1) out of three sampled residents. The facility census was 68 residents. On 6/5/25 the Administrator and acting Director of Nursing (DON) were notified of past non-compliance which occurred on 3/7/25. On 3/8/25 the facility administrator was notified of the incident by Licensed Practical Nurse (LPN) A and the investigation was started. LPN A was educated on 3/8/25 and was given a written warning on 3/10/25. Employee education started on 3/8/25 before the start of there shift and finished on 4/3/25. The deficiency was corrected on 3/8/25. Review of the facility's policy Medication Administration General Guidelines dated 1/25 showed: -Medications are administered as prescribed in accordance with manufacturers' specifications, good nursing principles and practices and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2024-03-29 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to remove dust and food debris from under the reach-in refrigerators at the back of the kitchen; failed to maintain the gasket (a mechanical seal which fills the space between two or more mating surfaces, generally to prevent leakage from or into the joined objects) in the door to the white upright freezer in good repair; failed to remove a buildup of dust from the sprinkler heads over the 3 compartment sink, the sprinkler heads and pipes over the automated toaster and ice maker machine; and failed to remove debris from the spray wand of the automated dishwasher. This practice potentially affected all residents in the facility. The facility census was 70 residents. 1. Observations on 3/25/24 from 9:18 A.M. through 9:38 A.M., during the initial kitchen tour, showed: - A buildup of food debris and dust under the reach-in refrigerators at the back of the kitchen. - A buildup of dust and debris under and behind the ice making machine. - A buildup of dust on the sprinkler heads and the sprinkler pipes over the 3-compartment sink and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-29 · tag F0569 — pattern
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a Third Party Liability (TPL- a form that is used by nursing homes to present a complete account of all the resident's remaining personal funds after a resident passed away) form was completed and submitted to MO Health Net within 30 days of death for three deceased residents (Residents #219, #220, and #221); and the facility failed to ensure a check with the remaining funds was submitted within 5 days of discharge for one discharged resident (Resident #218. This practice potentially affected four discharged residents. The facility census was 70 residents. 1. Review of Resident #219's resident fund information showed: - The resident passed away on [DATE]; at the time of the resident trust review, it had been 36 days since the resident's death. - The resident had $200.11 in his/her account when he/she passed away. During an interview on [DATE] at 11:42 A.M., the Business Office Manager (BOM) said he/she sent a check to the funeral home on [DATE]…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MEDICALODGES, INC. — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 17 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $325K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO