Butler Rehab And Healthcare Center
BUTLER REHAB AND HEALTHCARE CENTER in BUTLER, MO — inspection on November 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
staff signature line. -The resident signature line was blank.
During an interview on 10/7/25 at 11:51 A.M., the Social Services Director (SSD) said:-The resident did not ask to be discharged .-The resident was discharged on 8/1/25 when he/she went to the hospital.
During an interview on 10/7/25 at 1:46 P.M., the Director of Nursing (DON) said:-There was a discharge packet that was filled out by the nursing team.-He/She was unaware if the packet was completed.-He/She was unaware if discharging to a homeless shelter was an appropriate discharge, he/she would have contacted the corporate office.-He/She viewed the staff signature on the discharge form and confirmed it was the Administrator's. -Not sure who the discharge nurse was who brought the paperwork to the hospital.-There is no documentation stating who it was.-He/She expected each resident would have safe discharge plan due to ensure care and services are provided.-He/She expected there to be complete documentation regarding discharges.During an interview on 10/7/25 at 1:56 P.M., the Administrator said:-He/She told the resident he/she would not be allowed to come back to the facility.-The resident wanted to come back to the facility and said he/she was coming back and there was nothing we could do about it.-The resident would not take the notice from the charge nurse.-The resident was an immediate discharge.-The resident was not appropriate with the other residents.-The resident was drinking and sneaking alcohol in the facility.-The resident said sexually inappropriate things to other residents.-He/She felt it was safer for the other residents if the resident was no longer at the facility.-The resident was adamant that he/she wanted to stay at the facility.-The discharge paper said to return him/her to the shelter.-At the time he/she thought it was appropriate to discharge the resident to a homeless shelter, since that is where the resident admitted from.-He/She was under the impression that the resident fit the criteria for an immediate discharge. -The resident did not sign out of the facility Against Medical Advice (AMA).-When he/she was discharged from the hospital it was decided not to let him/her come back to the facility.-One of the nurses delivered the discharge notice he/she initially refused, to the hospital, along with the resident's walker, medication and belongings.-He/She was notified by the veteran's hospital that the resident was there.-He/She would have to check with corporate to see if the resident would be allowed back at the facility. -He/She would expect staff to follow discharge protocol, including completed documentation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.