MEDICALODGES BUTLER
The information listed below provides an in-depth look into the type and quality of care offered at Medicalodges Butler. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
MEDICALODGES BUTLER
103 EAST NURSERY
BUTLER, MO 64730
(660) 679-3179
103 EAST NURSERY
BUTLER, MO 64730
(660) 679-3179
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
72%Number of Residents and Certified Beds
- Residents: 79
- Certified Beds: 110
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Medicalodges Butler. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 6.7% |
| Total Percent: | 6.7% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 5.5% |
| ADL Index Range: 6-10 | 1.8% |
| ADL Index Range: 0-5 | 2.8% |
| Total Percent: | 10.1% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 2.2% |
| ADL Index Range: 6-10 | 18.9% |
| ADL Index Range: 0-5 | 28.0% |
| Total Percent: | 49.1% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.2% |
| ADL Index Range: 6-10 | 5.1% |
| ADL Index Range: 0-5 | 7.7% |
| Total Percent: | 16.0% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 2.8% |
| ADL Index Range: 0-5 | 10.5% |
| Total Percent: | 13.4% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-5 - No Signs of depression | 0.8% |
| Total Percent: | 0.8% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 0-1 - No Signs of depression | 2.8% |
| Total Percent: | 2.8% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 0-1 - Less restorative nursing | 0.4% |
| Total Percent: | 0.4% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 2-5 - Less restorative nursing | 0.6% |
| Total Percent: | 0.6% |
Rating Details For Medicalodges Butler
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 28 Minutes | 55 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 51 Minutes | 38 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 21 Minutes | 2 Hours and 21 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 19 Minutes | 1 Hour and 33 Minutes |
| Total Nurse Hours | 3 Hours and 41 Minutes | 3 Hours and 54 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Missouri Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 9% | 4% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 6% | 4% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 5% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 12% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 12% | 9% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 7% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 14% | 11% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 29% | 38% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 7% | 9% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 78% | 87% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 81% | 83% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 4% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 22% | 20% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 8% | 11% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/11/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Follow All Laws and Professional Standards.
|  |  |
Keep Accurate and Appropriate Medical Records.
| | |
Environmental
Provide Needed Housekeeping and Maintenance.
| |  |
Have a Program to Keep Infection from Spreading.
| | |
Have Enough Outside Airflow.
| | |
Keep Safe, Clean and Homelike Surroundings.
| | |
Provide Needed Housekeeping and Maintenance.
| | |
Keep Adequate and Comfortable Lighting in All Areas.
| | |
Have Enough Outside Airflow.
| | |
Put Firmly Secured Handrails on Each Side of Hallways.
| |  |
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Nutrition and Dietary
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
|  | |
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
| | |
Make Sure That Each Resident's Nutritional Needs Were Met.
| | |
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
| | |
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Resident Rights
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
| | |
Provide Services to Meet the Needs and Preferences of Each Resident.
| | |
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
| | |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Medicalodges Butler, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Medicalodges Butler had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/11/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
Portable Fire Extinguishers.
| | |
Portable Fire Extinguishers.
| | |
Building Construction
Approved Construction Type or Materials.
| | |
Approved Construction Type or Materials.
| | |
Building Service Equipment
Properly Protected Cooking Facilities.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Corridor and Hallway Doors That Block Smoke.
| | |
Corridor and Hallway Doors That Block Smoke.
| | |
Electrical
Properly Installed Electrical Wiring and Equipment.
| | |
Exits and Egress
Exits That Are Accessible at All Times.
| | |
Exits That Are Accessible at All Times.
| | |
Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
| | |
Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
| | |
Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
| | |
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011
