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Nursing HomeMedicaid

Houston House

Strong Medicare quality ratings; families often praise stable, long-term management. Still worth an in-person visit.

1000 North Industrial Drive, Houston, MO 6548396 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 7 Google reviews

Houston House Nursing Home in Houston, MO — Street View
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What this means for your family

While historical reviews praised the facility's clinical management and transition support, recent feedback indicates serious issues with staff responsiveness and administrative transparency. We strongly advise families to visit in person to observe staff-to-resident interaction and to request a clear policy on how the facility handles family communication and information access.

Google Reviews

Google Reviews

7 reviews on Google
Houston House receives polarized feedback, with some long-term observers praising stable management and proactive clinical oversight, while recent visitors report significant concerns regarding care quality and administrative transparency. Families have expressed frustration over communication barriers and poor food quality, contrasting sharply with older positive accounts of the facility's intake process.

Quality Themes

Tap a score for details
Food1.0Staff3.0CleanN/AActivitiesN/AMeds9.0MemoryN/AComms2.0ValueN/A

Strengths

  • Stable, long-term management
  • Proactive clinical oversight for new arrivals
  • Supportive transition process for new residents

Concerns

  • Poor quality and unrecognizable food
  • Lack of staff availability and communication

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02019(1)3.72024(3)3.02025(2)

Distribution · 7 analyzed

5
5
4
0
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about how proactive the clinical team is with new arrivals; how do you typically manage the transition process for a new resident during their first week?
  • 2Since we want to ensure our loved one stays well-nourished, could you tell us more about the current dining menu and how much input residents have in their meal choices?
  • 3How does the nursing team ensure that family members are kept updated on any changes in a resident's health or daily well-being?
  • 4In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating care?
  • 5What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?
  • 6With the management team being so stable here, how does that stability translate into the consistency of care provided by the floor staff?

Personalized based on this facility's data


Key Review Excerpts

The director/administrator does the least amount possible. The staff can never answer a question because they don’t spend enough time with the residents.

Visitor/Resident family · 2025☆☆☆☆

They have had good caring & stable management for years. Their Director of Nursing also sits on the local hospital's board of directors and has a goal of reducing compounded prescriptions of new elderly arrivals.

Long-term observer · 2018★★★★★

They wouldn’t allow me to get any information about my mother. They wouldn’t let me see her until her daughter in law said it was okay after I said I would talk to my lawyer.

Resident's family member · 2024☆☆☆☆
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
12.1%
MO
16.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.1%
Worse than Avg
Here
34.1%
US
19.5%
MO
25.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
14.4%
MO
19.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
15.5%
MO
23.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
15.3%
MO
18.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.4%
Mixed vs Avgs
Here
87.4%
US
93.4%
MO
84.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.9%
Better than Avg
Here
83.9%
US
79.8%
MO
63.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.3%
Mixed vs Avgs
Here
76.3%
US
81.8%
MO
65.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (12.0)
2 complaint-triggered

Houston House has ongoing challenges with fire safety systems and resident care assessments appearing across multiple surveys, though all deficiencies show correction dates. The facility has struggled with emergency lighting, exit signs, smoke barriers, and ensuring timely resident assessments, with some issues recurring over time. One family filed a complaint regarding readmission rights after hospitalization. While deficiencies have been addressed when cited, the pattern of recurring safety and assessment issues warrants careful consideration during your visit.

Apr 2, 2026Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Feb 7, 2025Routine
4
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Dec 14, 2023Routine
14
0324Potential for harm · Widespread

Smoke Deficiencies

Provide properly protected cooking facilities.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

Aug 1, 2023Complaint
1
0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Oct 19, 2021Routine
20
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0638Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0678Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Houston House

Organization Type

for profit

Chain Affiliation

Chain Name

Circle B Enterprises

Chain Size

36 facilities nationwide

Chain avg rating: 2.3/5 · Rank 3 of 29 (Best)

Ownership & Management

Owners

Circle B Enterprises Holding Company INC

Owner · Organization

100%

Bedell, Bryan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Bedell, DonaldOfficer / DirectorBeaird, ToddOfficer / DirectorBedell, DonaldOfficer / DirectorAgh1 LLCManagerSovereign Healthcare Group LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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