Houston House in Houston, MO has an overall 5-star rating, with a 5-star health inspection rating but 3-star staffing and quality measures. Reported nurse staffing is 3.90 hours per resident per day, below the 4.1 federal benchmark, and it had $0 in fines in the last 24 months.
Last inspection: February 7, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8964.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
0.78
Nurse aides
2.68
Weekend nursing
3.40
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
25.4%Improving
Residents with a fall causing major injury
1.8%Improving
Residents with pressure ulcers (bedsores)
7.4%Worsening
Residents with a urinary tract infection
1.5%Worsening
Residents who lost too much weight
10.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28%Improving
Residents whose ability to walk got worse
22.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
34.1%Worsening
Short-stay residents newly given an antipsychotic
3.1%Steady
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
23.9%Worsening
Residents with depressive symptoms
29%Worsening
Long-stay residents given the seasonal flu vaccine
96%Steady
Long-stay residents given the pneumonia vaccine
87.4%Improving
Short-stay residents given the seasonal flu vaccine
83.9%Steady
Short-stay residents given the pneumonia vaccine
76.3%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to update each resident’s assessment at least every three months. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Individual
Chain
Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
Occupancy
72.2 residents on an average day (75% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.