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Care Compare / Nursing Homes / Alabama / Butler
Fonteum Care Compare · Alabama · Butler

Nursing homes in Butler, Alabama: 1 Medicare-certified facility.

CMS overall star rating, staffing rating, health inspection rating, and ownership type for every Medicare-certified nursing home in Butler — every column traced to the CMS Care Compare NH Provider Information dataset (4pq5-n9py).

Average CMS overall rating in Butler: 5.0 / 5

View at Medicare.gov →All Alabama cities →
Snapshot May 6, 2026·1 Medicare-certified nursing homes in Butler, Alabama·CMS Care Compare — NH Provider Info (4pq5-n9py)·State overview →·Module overview →·Methodology →
How Butler compares

Butler vs the Alabama state average

Overall ★ — this city
5.0
State avg 3.0 / 5
+2.0 vs state
Staffing ★ — this city
4.0
State avg 3.6 / 5
+0.4 vs state
Facilities — this city
1
224 statewide

State averages are CMS-published per-state means from the same snapshot; the city figure is the mean across the 1 rated facility above.

Where Butler sits

All 1 Medicare-certified nursing home in Butler sit in Choctaw County, Alabama. County is the geographic unit CMS uses for staffing-desert and access analysis.

All Medicare-certified nursing homes in Butler, Alabama

Arabella Health & Wellness Of Butler
1406 East Pushmataha Street · CCN 015164 · For profit - Limited Liability company
120 certified beds · 67.8 avg daily residents · 3.61 total nurse hrs/resident-day · QM 3 / 5 · Last standard survey March 25, 2021
5
Overall
4
Staffing
5 / 5
Health Insp.
Reading the data

What these CMS ratings mean

Every star column on this page comes straight from CMS’s Five-Star Quality Rating System. Fonteum re-publishes the federal numbers without re-scoring them — the definitions below are CMS’s, not ours.

Overall star rating
A 1-to-5 summary CMS derives from the health-inspection, staffing, and quality-measure ratings. It is a relative ranking, not an absolute score — roughly the top fifth of facilities earn 5 stars and the bottom fifth earn 1.
Health inspection rating
Based on the three most recent state standard surveys plus any complaint investigations, weighted toward recency. More and more severe deficiencies lower the rating.
Staffing rating
Built from payroll-based (PBJ) nurse staffing hours per resident day, case-mix adjusted, including registered-nurse hours and weekend coverage.
Quality-measure (QM) rating
Drawn from a set of MDS- and claims-based clinical measures (e.g. pressure ulcers, falls, hospitalisation, antipsychotic use) across short- and long-stay residents.
Special Focus Facility (SFF)
A separate CMS program flagging facilities with a persistent pattern of serious health-inspection problems. “SFF” marks an active designation; “SFF Candidate” marks a facility on the candidate list.

Full methodology: how Fonteum sources and signs CMS nursing-home data.

Other Alabama cities with nursing homes

Compare Butler with nearby markets — facility counts from the same CMS snapshot.

Birmingham20Mobile14Huntsville9Montgomery8Northport5Bessemer4Florence4Alexander City3Cullman3Dothan3Gadsden3Jasper3

Fonteum research on nursing-home quality

Star ratings vs actual resident harm
Where CMS overall stars diverge from documented harm-level deficiencies.
Nursing-home staffing deserts by county
Counties where reported nurse hours per resident day fall furthest behind.
Nursing-home ownership networks
How chain ownership concentrates across Medicare-certified facilities.
Facilities banned from new Medicare admissions
Payment-denial enforcement actions and the facilities they hit.

Compliance posture

Methodology · Corrections log · Editorial policy

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Daily reconciliation

Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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The substrate, by the numbers

9.2Mgraph entitiesProviders, organizations, owners, and facilities
12.5Mlinked identifiersNPIs, CCNs, LEIs and more, resolved to entities
4.7Mgraph edgesSource-attested relationships between entities
44federal source familiesDistinct CMS, OIG, HRSA, FDA and peer datasets
33dataset pagesCitable, downloadable /data catalog pages
48reproducible studiesEach shipping the SQL behind its figures