Nursing home · Houston, MO
Houston House
1000 North Industrial Drive, Houston, MO 65483 · 96 certified beds · for profit ownership · part of Circle B Enterprises
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Apr 2, 2026, when they cited 7 problems, 1 of them from complaint investigations. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 7 are marked corrected in the CMS data. At its most recent standard inspection (Apr 2, 2026) it had 7 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.86 hours per resident per day here, 13% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.41 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 47% over the past year, 9 points lower than Missouri (56%) and 1 points higher than the U.S. (46%).
How Houston House compares
This home's latest CMS figures next to the averages for Salem-area homes (7), Missouri (487) and the U.S. (14,680).
| This home | Salem area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.86 | 3.42 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.41 | 0.48 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.44 | 2.99 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 47% | 57% | 56% | 46% |
| Registered nurse turnover (past year) | 20% | 49% | 48% | 43% |
| Citations at the most recent standard inspection | 7 | 9.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 14 of 14 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Apr 2, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Apr 2, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| Apr 2, 2026 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 2, 2026 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 2, 2026 | 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 | D | Deficient, Provider has date of correction |
| Apr 2, 2026 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 2, 2026 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Feb 7, 2025 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 7, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Dec 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 14, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| Dec 14, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Dec 14, 2023 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 14, 2023 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
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Questions about Houston House
Answers computed from CMS data for this facility.
What is Houston House's Medicare rating?
Medicare rates Houston House 4 out of 5 stars overall (above average). The average for Salem-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Houston House do on its last inspection?
Inspectors' most recent visit in the CMS data was on Apr 2, 2026, when they cited 7 problems, 1 of them from complaint investigations. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 7 are marked corrected in the CMS data. At its most recent standard inspection (Apr 2, 2026) it had 7 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.
Has Houston House been fined?
CMS reports no federal fines for this facility in the past three years.
Does Houston House accept Medicaid?
Houston House is certified for both Medicare and Medicaid. Call (417) 967-2527 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.