Missouri › Texas County › Houston
Houston House
1000 North Industrial Drive, Houston, MO 65483
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 96 beds, Houston House serves Houston in Texas County, Missouri and has taken Medicare and Medicaid residents since 1991.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 3 and quality measures 2.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (7, 2, 6 by cycle, most recent first), none at the actual-harm level. That is 15.6 per 100 beds, fewer than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.9 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 47.2%.
Compared with county, state and nation
| Measure | This facility | Texas Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 15 | 15 | 31 | 28.7 |
| Citations per 100 beds | 15.6 | 15.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 47.2% | 47.2% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Apr 2026, 7 Feb 2025.
Severity mix: D ×13 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 16 May 2026 |
| 2 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 16 May 2026 |
| 2 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 May 2026 |
| 2 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 May 2026 |
| 2 Apr 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 May 2026 |
| 2 Apr 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 16 May 2026 |
| 2 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 May 2026 |
| 7 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Mar 2025 |
| 7 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 Mar 2025 |
| 14 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Jan 2024 |
| 14 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Jan 2024 |
| 14 Dec 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 28 Jan 2024 |
| 14 Dec 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 28 Jan 2024 |
| 14 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Jan 2024 |
| 1 Aug 2023 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 14 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 47.2%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% or greater direct ownership interest | 100% | 01/01/1996 |
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 06/13/2025 |
| Dcb Real Estate Partnership LP | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Houston Properties LLC | Adp of the snf | NOT APPLICABLE | 01/01/2010 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 11/01/2010 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Texas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Kabul Nursing Homes Inc | Cabool | 99 | 5 | 5 | 4 | 12 | 12.1 | — | 14 Aug 2025 |
| Hickory Manor | Licking | 60 | 2 | 3 | 2 | 38 | 63.3 | — | 30 Apr 2026 |
All 3 facilities in Texas County
Questions and answers
How many deficiencies has Houston House been cited for?
15 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Houston House been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Houston House compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Houston House?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Circle B Enterprises Holding Company Inc, Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Houston House last inspected?
The most recent survey or investigation in the CMS record is dated 2 Apr 2026; the most recent standard health survey was 2 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.