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Complaint Investigation

Butler Rehab And Healthcare Center

Inspection Date: November 18, 2025
Total Violations 1
Facility ID 265275
Location BUTLER, MO
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Inspection Findings

F-Tag F0627

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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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📋 Inspection Summary

BUTLER REHAB AND HEALTHCARE CENTER in BUTLER, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BUTLER, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BUTLER REHAB AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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