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No fines or payment denials in the published 3-year window.
103 East Nursery, Butler, MO 64730 (opens Google Maps) · Bates County · (660) 679-3179· 105 certified beds · avg 59 residents/day · certified since Feb 1, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MEDICALODGES, INC. (18 facilities, chain avg rating 2.7★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. F-0923
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. F-0925
The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. F-0553
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 5, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · F-0923 |
| Sep 5, 2025 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jun 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Mar 29, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · F-0569 |
| Mar 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · F-0923 |
| Mar 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Mar 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Jul 1, 2022 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jul 1, 2022 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | F |
| 2024 | 6 | 0 | F |
| 2025 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.98 | 3.66 | 3.95 | top 8% in Missouri; top 13% in the U.S. |
| Registered Nurse hours | 0.58 | 0.49 | 0.69 | top 25% in Missouri; bottom 50% in the U.S. |
| Weekend total nurse staffing | 4.26 | 3.22 | 3.50 | top 12% in Missouri; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.33 | 0.48 | top 29% in Missouri; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 25.0 | 56.0 | 45.8 | top 1% in Missouri; top 7% in the U.S. |
| RN turnover (%) | 28.6 | 47.8 | 42.9 | top 22% in Missouri; top 26% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.14, RN 0.49, weekend 3.54.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.14 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Medicalodges Butler. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Medicalodges INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1966 |
| Brooks, Misty | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/27/2004 |
| Butler, Richard | Individual | Corporate Director | NOT APPLICABLE | 07/01/2003 |
| Cardenas, Staci | Individual | Corporate Officer | NOT APPLICABLE | 05/28/2013 |
| Coover, Teresa | Individual | Corporate Officer | NOT APPLICABLE | 09/21/2017 |
| Cox, Garen | Individual | Corporate Director | NOT APPLICABLE | 02/26/1998 |
| Doll, Gayle | Individual | Corporate Director | NOT APPLICABLE | 03/10/2005 |
| Hines, Scott | Individual | Corporate Director | NOT APPLICABLE | 03/19/2009 |
| Hines, Scott | Individual | Corporate Officer | NOT APPLICABLE | 03/20/2009 |
| Lager, Shannon | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2013 |
| Lantz, Kathleen | Individual | Corporate Officer | NOT APPLICABLE | 10/22/2007 |
| Marshall, Carol | Individual | Corporate Director | NOT APPLICABLE | 07/27/2006 |
| McBride, Travis | Individual | Corporate Officer | NOT APPLICABLE | 11/15/2012 |
| Ott, Ron | Individual | Corporate Director | NOT APPLICABLE | 09/15/2006 |
| Rohling McCord, Catherine | Individual | Corporate Officer | NOT APPLICABLE | 06/09/2000 |
| Smith, Pamela | Individual | Corporate Officer | NOT APPLICABLE | 10/09/2009 |
| Waechter Harmon, Lori | Individual | Corporate Officer | NOT APPLICABLE | 03/31/2018 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Medicalodges, INC. — 18 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 17 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Butler Rehab and Healthcare Center | 0.5 mi | Butler, MO | ★☆☆☆☆ | 3/5 | |
| Baptist Homes of Adrian | 10.2 mi | Adrian, MO | ★★★★☆ | 4/5 | |
| Appleton City Manor | 17.4 mi | Appleton City, MO | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 265564.
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