nursing home in Houston, MO
Houston House
1000 North Industrial Drive, Houston, MO 65483 · (417) 967-2527
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Houston House at a glance
Houston House is a 96-bed for-profit nursing home in Houston, Missouri (Texas County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.9 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (April 2, 2026) found 7 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 47.2% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 96
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Circle B Enterprises
- Medicare-certified since
- September 26, 1991
- Resident/family council
- Resident
- County
- Texas County
- CMS Certification Number
- 265470
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.86 hrs | 3.43 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.41 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.64 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.44 hrs | 3.01 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 47.2% | 56% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 20% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 32 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 96 | 103 | 107 | |
| Average residents per day | 74 | 73 | 86 | |
| Occupancy | 77.1% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.7% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.7% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 25.9% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.9% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 25.3% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.1% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11.2% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 28.2% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 35.9% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.6% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 91% | 84.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.6% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 83.9% | 63.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82.4% | 65.7% | 82% | Average |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 2, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected May 16, 2026 |
| April 2, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 16, 2026 |
| April 2, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 16, 2026 |
| April 2, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 16, 2026 |
| April 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 16, 2026 |
| April 2, 2026 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected May 16, 2026 |
| April 2, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected May 16, 2026 |
| April 2, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 16, 2026 |
| February 7, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected March 23, 2025 |
| February 7, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected March 26, 2025 |
| February 7, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 23, 2025 |
| February 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected March 23, 2025 |
| December 14, 2023 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 28, 2024 |
| December 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 28, 2024 |
| December 14, 2023 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected January 28, 2024 |
| December 14, 2023 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected January 28, 2024 |
| December 14, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected January 28, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC Organization | 5% or greater direct ownership interest | 100% | 01/01/1996 |
| AGH1 LLC Organization | adp of the snf | NOT APPLICABLE | 06/13/2025 |
| BEAIRD, TODD Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BEERS, JONATHAN Individual | adp of the snf | NOT APPLICABLE | 08/01/2021 |
| DCB REAL ESTATE PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| FG LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2016 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 08/16/2021 |
| HOUSTON PROPERTIES LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2010 |
| MID STATES INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2010 |
| SHAFER, JODI Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/06/2025 |
| VAN DE VEN LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2000 |
| BEDELL, DONALD Individual | corporate director | NOT APPLICABLE | 01/22/2001 |
| BEAIRD, TODD Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| BEDELL, DONALD Individual | corporate officer | NOT APPLICABLE | 01/06/1997 |
| BEDELL, BRYAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/12/2025 |
| AGH1 LLC Organization | operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| BEDELL, DONALD Individual | operational/managerial control | NOT APPLICABLE | 01/06/1997 |
| BEERS, JONATHAN Individual | operational/managerial control | NOT APPLICABLE | 08/01/2021 |
| SHAFER, JODI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 04/23/2021 |
Other nursing homes near Houston House
- ★★★★★2Below average
Kabul Nursing Homes INC
1000 Main Street, Cabool, MO 65689 · 15.2 mi
Non-profit · 99 beds
- CMS high performer
★★★★★5Much above averageAutumn Oaks Caring Center
1310 Hovis Street, Mountain Grove, MO 65711 · 19.8 mi
For-profit · 120 beds · Part of Circle B Enterprises
★★★★★1Much below averageWillow Care Nursing Home
2646 State Route 76, Willow Springs, MO 65793 · 23.2 mi
Non-profit · 105 beds
★★★★★3AverageMountain View Healthcare
1211 North Ash Street, Mountain View, MO 65548 · 26.1 mi
Non-profit · 105 beds
- CMS high performer
★★★★★5Much above averageHartville Care Center
649 West Rolla Street, Hartville, MO 65667 · 30.4 mi
For-profit · 58 beds · Part of James & Judy Lincoln
★★★★★3Average
Frequently asked questions
What is Houston House's rating?
Houston House has 4 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Houston House receive?
Its most recent standard health inspection found 7 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Houston House accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Houston House?
It is for profit - individual and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.
Where is Houston House and how do I contact it?
Houston House is at 1000 North Industrial Drive, Houston, MO 65483. Phone: (417) 967-2527.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.