Houston House
1000 North Industrial Drive · Houston, MO · 65483 · 4179672527
96 certified beds For profit - Individual Chain: Circle B Enterprises
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.90 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · F April 2, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 16, 2026 · Nutrition and Dietary
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Potential for harm · D February 7, 2025
Ensure each resident receives an accurate assessment.
Corrected March 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 23, 2025 · Nutrition and Dietary
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Potential for harm · D December 14, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 28, 2024 · Resident Rights
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Potential for harm · D December 14, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 14, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected January 28, 2024 · Quality of Life and Care
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Potential for harm · F December 14, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 28, 2024 · Nutrition and Dietary
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Potential for harm · D December 14, 2023
Provide and implement an infection prevention and control program.
Corrected January 28, 2024 · Infection Control
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Potential for harm · D August 1, 2023 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected September 14, 2023 · Resident Rights
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Potential for harm · D October 19, 2021
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · E October 19, 2021
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · D October 19, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · E October 19, 2021
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected December 2, 2021 · Quality of Life and Care
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Potential for harm · D October 19, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 2, 2021 · Quality of Life and Care
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Potential for harm · D October 19, 2021
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 2, 2021 · Quality of Life and Care
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Potential for harm · D October 19, 2021
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 2, 2021 · Quality of Life and Care
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Potential for harm · D October 19, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected December 2, 2021 · Quality of Life and Care
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Potential for harm · D October 19, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 2, 2021 · Quality of Life and Care
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Potential for harm · E October 19, 2021
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 2, 2021 · Nutrition and Dietary
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Potential for harm · E October 19, 2021
Provide and implement an infection prevention and control program.
Corrected December 2, 2021 · Infection Control
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Potential for harm · D October 19, 2021
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected December 2, 2021 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265470 · certified since September 26, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.