Nursing homeActive
Houston House
1000 North Industrial Drive, Houston, MO 65483417967252796 certified beds · 74 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
15
● 0● 15● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-02
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-02 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2025-02-07 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-12-14 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-08-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F641
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F690
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F699
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-16Record 265470-20260402-F880
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-23Record 265470-20250207-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-23Record 265470-20250207-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 265470-20231214-F550
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 265470-20231214-F604
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 265470-20231214-F699
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 265470-20231214-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 265470-20231214-F880
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 265470-20230801-F626
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.41
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.86
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.44
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover47%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover20%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.7% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.7% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 25.9% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.9% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.3% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 11.2% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 35.9% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Circle B Enterprises Holding Company Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Agh1 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beers, Jonathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shafer, Jodi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Agh1 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bedell, Bryan Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Beers, Jonathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dcb Real Estate Partnership LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Houston Properties LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mid States Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shafer, Jodi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Van De Ven LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Circle B Enterprises — 36 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Texas.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hickory Manor Licking | 13.6 mi | 2026-04-30 | 0380 |
| Kabul Nursing Homes Inc Cabool | 15.2 mi | 2025-08-14 | 0100 |
| Autumn Oaks Caring Center Mountain Grove | 19.8 mi | 2025-11-20 | 0112 |
| Willow Care Nursing Home Willow Springs | 23.2 mi | 2026-01-08 | 0120 |
| Mountain View Healthcare Mountain View | 26.1 mi | 2025-04-04 | 090 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |