Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BUTLER REHAB AND HEALTHCARE CENTER

BUTLER, MO · 98 certified beds · Last Life Safety survey February 27, 2026

CMS Certification Number 265275 · first certified March 1985

Ownership

Operated by AMA HOLDINGS · For profit - Limited Liability company

Ownership changed August 1, 2023 (change of ownership)from BREEZY OPERATIONS LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

21 citations — more than 55% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 14 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was February 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0906 Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	21
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 5, 2022	5
April 5, 2024	2
February 27, 2026	14

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2026-02-27
E-0015	Address subsistence needs for staff and patients.	2	2026-02-27
K-0363	Install corridor and hallway doors that block smoke.	2	2026-02-27
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-02-27
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2026-02-27
E-0020	Establish policies and procedures including evacuation.	1	2026-02-27
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2024-04-05
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	1	2026-02-27

What the citations cover

Citations by CMS category

Smoke Deficiencies 5
Emergency Preparedness Deficiencies 5
Egress Deficiencies 4
Gas, Vacuum, and Electrical Systems Deficiencies 3
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	5
Emergency Preparedness Deficiencies	5
Egress Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	3
Miscellaneous Deficiencies	3
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 27, 2026 — 14 citations

Citations issued on February 27, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (March 25, 2026)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (March 25, 2026)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (March 25, 2026)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (March 25, 2026)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (March 25, 2026)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 25, 2026)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 25, 2026)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (March 25, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 25, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 25, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 25, 2026)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 25, 2026)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (March 25, 2026)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 25, 2026)

April 5, 2024 — 2 citations

Citations issued on April 5, 2024
Tag	What the surveyor checks	Status
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (June 4, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 4, 2024)

August 5, 2022 — 5 citations

Citations issued on August 5, 2022
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (September 15, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (September 15, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 15, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 15, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 15, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.