Ml Op Butler LLC — nursing home in Butler, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 105 CMS-certified beds (not state-licensed beds)
Licensed beds: 105 state-licensed beds · Missouri Department of Health and Senior Services
State license: 054087 active · licensee ML OP BUTLER LLC
Average residents per day: 64.4 CMS, MDS-derived
CMS Certification Number: 265564
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 1, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Medicalodges Inc
CMS chain: Medicalodges, Inc. 18 facilities
Phone: (660) 679-3179
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Sep 5, 2025

Citations

49

16 health · 33 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E25	F12
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265564
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 105
First approved: Feb 1, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 054087
State facility ID: 05319
License type: Skilled nursing facility
License status: active
Licensed beds: 105
Link to CMS record: Linked by exact CCN Verified
Licensee: ML OP BUTLER LLC · Limited Liability Company
Current license: Aug 1, 2026 → Apr 15, 2028
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 5, 2025	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Sep 5, 2025	Health	Health Standard	7	Potential harm	—	Open →
Jun 5, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 29, 2024	Fire safety	Fire Safety Standard	15	Potential harm	—	Open →
Mar 29, 2024	Health	Health Standard	6	Potential harm	—	Open →
Jul 1, 2022	Fire safety	Fire Safety Standard	10	Potential harm	—	Open →
Jul 1, 2022	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E25	F12
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 5, 2025	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 20, 2025
Sep 5, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2025
Sep 5, 2025	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	F-0553	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 20, 2025
Sep 5, 2025	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 20, 2025
Sep 5, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 20, 2025
Sep 5, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 20, 2025
Sep 5, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 20, 2025
Sep 5, 2025	F-0923	Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Sep 5, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2025
Jun 5, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Past non-compliance Mar 8, 2025	Complaint
Mar 29, 2024	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 13, 2024
Mar 29, 2024	K-0200	Meet other general requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0227	Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted
Mar 29, 2024	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted
Mar 29, 2024	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 13, 2024
Mar 29, 2024	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 13, 2024
Mar 29, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 13, 2024
Mar 29, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 13, 2024
Mar 29, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0541	Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 13, 2024
Mar 29, 2024	F-0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 13, 2024
Mar 29, 2024	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 13, 2024
Mar 29, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 13, 2024
Mar 29, 2024	F-0923	Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Mar 29, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 13, 2024
Jul 1, 2022	E-0001	Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 12, 2022
Jul 1, 2022	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2022
Jul 1, 2022	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2022
Jul 1, 2022	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2022
Jul 1, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2022
Jul 1, 2022	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2022
Jul 1, 2022	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2022
Jul 1, 2022	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 26, 2022
Jul 1, 2022	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 8, 2022
Jul 1, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2022
Jul 1, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 12, 2022
Jul 1, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Aug 12, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.66

State avg 3.40US avg 3.90

Registered nurse (RN)0.48

State avg 0.46US avg 0.69

Licensed practical nurse0.91

State avg 0.68US avg 0.86

Nurse aide2.27

State avg 2.26US avg 2.35

Weekend total nurse3.20

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.62 (case-mix index 1.11).

Staff turnover

Total nursing staff turnover31.3%

State avg 56.9%US avg 45.3%

Registered nurse turnover28.6%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 5, 2025
Cycle 1 health score: 36
Total weighted score: 40

Operating entity

Medicalodges Inc

CMS legal business name of the certified provider. Operates 17 facilities.

VerifiedLinked by exact legal name

CMS chain

Medicalodges, Inc.

18 facilities in 3 states. CMS chain ID 344.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.6

Ownership disclosures

Disclosures

17

Organizations

1

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Medicalodges Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 1966

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Medicalodges Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 1966
Richard Butler	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2003
Garen Cox	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 26, 1998
Gayle Doll	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 10, 2005
Scott Hines	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 19, 2009
Carol Marshall	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 27, 2006
Ron Ott	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 15, 2006
Staci Cardenas	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 28, 2013
Teresa Coover	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 21, 2017
Scott Hines	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 20, 2009
Shannon Lager	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 15, 2013
Kathleen Lantz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 22, 2007
Travis Mcbride	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 15, 2012
Catherine Rohling Mccord	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 9, 2000
Pamela Smith	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 9, 2009
Lori Waechter Harmon	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 31, 2018
Misty Brooks	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Feb 27, 2004

Other facilities operated by Medicalodges Inc

All 16 →

Facility	Beds	Last inspection	Citations (window)	Fines
Medicalodges Wichita 2280 S Minneapolis Avenue, Wichita, KS 67211 CCN 175008	55	Nov 17, 2025	51	—
Medicalodges Atchison 1637 Riley Street, Atchison, KS 66002 CCN 175141	60	Apr 8, 2026	34	—
Medicalodges Leavenworth 1503 Ohio Street, Leavenworth, KS 66048 CCN 175162	45	Jun 10, 2026	861 IJ	$8,281
Medicalodges Fort Scott 915 S Horton, Fort Scott, KS 66701 CCN 175258	45	Feb 18, 2026	88	—
Medicalodges Columbus 101 Lee Avenue, Columbus, KS 66725 CCN 175264	45	Mar 18, 2026	473 IJ	$28k
Medicalodges Kinsley 620 Winchester Avenue, Kinsley, KS 67547 CCN 175275	42	Jul 2, 2025	251 IJ	$54k
Medicalodges Arkansas City 203 E Osage Avenue, Arkansas City, KS 67005 CCN 175313Abuse icon	45	Jun 26, 2025	623 IJ2 harm	$73k
Medicalodges Frontenac 206 S Dittman Street, Frontenac, KS 66763 CCN 175363	55	Mar 20, 2025	571 IJ	$17k

Same chain in Missouri

All 17 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Medicalodges Neosho 400 Lyon Drive, Neosho, MO 64850 CCN 265266	114		Apr 29, 2026	20	—
Medicalodges Nevada 1210 West Ashland, Nevada, MO 64772 CCN 265493	100		May 28, 2026	41	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 103 East Nursery, Butler, MO 64730
ZIP: 64730
County: Bates County FIPS 29013
State: Missouri
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Butler Rehab and Healthcare Center 416 S High Street, Butler, MO 64730 CCN 265275	0.8 km	98		Jun 29, 2026	56	—
Baptist Homes of Adrian 402 W 1st Street, Adrian, MO 64720 CCN 265887	16.3 km	38		Nov 19, 2025	15	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265564	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265564	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Missouri DHSS Long-Term Care Directory MO	05319	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265564

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction