Federal inspection record · CMS data as of October 1, 2026
Ml Op Butler LLC
103 East Nursery, Butler, MO · (660) 679-3179
- Certified beds
- 105
- Residents per day
- 64
- Ownership
- For-Profit
- Chain
- Medicalodges, Inc.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1994
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Ml Op Butler LLC carries 40 inspection points. That is fewer than 75% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Environmental4E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights4E
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Quality of Life and Care3D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2025-09-05
7 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-03-29
7 health deficiencies · 15 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
2022-07-01
2 health deficiencies · 10 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 40 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 2.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts better | 99.6% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.6 pts better | 98.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 4.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.9 pts better | 4.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 24.6% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.9 pts better | 5.6% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.8 pts better | 5.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10 pts better | 7.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse | 17.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.3 pts better | 100.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit16 pts worse | 29.4% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine36.4 pts better | 97.8% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.1 pts better | 14.6% | 25.7% | 23.4% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Medicalodges Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 19 facilities |
| Brooks, Misty | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Butler, Richard | Corporate Director · Individual | 0% | 35 facilities |
| Cardenas, Staci | Corporate Officer · Individual | 0% | 12 facilities |
| Coover, Teresa | Corporate Officer · Individual | 0% | 17 facilities |
| Cox, Garen | Corporate Director · Individual | 0% | 19 facilities |
| Doll, Gayle | Corporate Director · Individual | 0% | 19 facilities |
| Hines, Scott | Corporate Director · Individual | 0% | 19 facilities |
| Hines, Scott | Corporate Officer · Individual | 0% | 19 facilities |
| Lager, Shannon | Corporate Officer · Individual | 0% | 18 facilities |
| Lantz, Kathleen | Corporate Officer · Individual | 0% | 19 facilities |
| Marshall, Carol | Corporate Director · Individual | 0% | 19 facilities |
| Mcbride, Travis | Corporate Officer · Individual | 0% | 19 facilities |
| Ott, Ron | Corporate Director · Individual | 0% | 19 facilities |
| Rohling Mccord, Catherine | Corporate Officer · Individual | 0% | 19 facilities |
| Smith, Pamela | Corporate Officer · Individual | 0% | 11 facilities |
| Waechter Harmon, Lori | Corporate Officer · Individual | 0% | 15 facilities |
·
Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress10E
- E
Install proper backup exit lighting.
- D
Meet other general requirements that are deficient.
- E
Meet other general requirements.
- E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
- E
Have exits that are accessible at all times.
- E
Install proper backup exit lighting.
- E
Meet other general requirements that are deficient.
- D
Have properly located and lighted "Exit" signs.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Meet other general requirements that are deficient.
Gas, Vacuum, and Electrical Systems5F
- E
Meet requirements for the use of electrical equipment.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous4F
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Establish an Emergency Preparedness Program (EP).
Construction1E
- E
Use approved construction type or materials.
Services1E
- E
Install properly constructed and protected linen or trash chutes.
·
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