Houston House

Name: Houston House: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Houston, Texas County, Missouri · CCN 265470 · For-profit (Individual) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)

CMS rates Houston House 4 of 5 overall as of August 2026. 96 certified beds, 74 residents a day on average. 15 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★★★☆ 4 of 5
Health inspections	★★★★☆ 4 of 5
Staffing	★★★☆☆ 3 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	1 / 2 of 5

Staffing

Total nurse staffing	3.86355 hours per resident per day
Registered nurses	0.40641 hours per resident per day
Weekend total	3.44333 hours per resident per day
Nursing staff turnover	47.2% (registered nurses 20%)
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-04-02 complaint survey	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-05-16
2026-04-02	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-16
2026-04-02	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-16
2026-04-02	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-16
2026-04-02	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 Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-16
2026-04-02	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-16
2026-04-02	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-16
2025-02-07	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-23
2025-02-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-23
2023-12-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-01-28
2023-12-14	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-28
2023-12-14	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-28
2023-12-14	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-28
2023-12-14	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-28
2023-08-01 complaint survey	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · tag F0626	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-14

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Circle B Enterprises Holding Company Inc. Organization	5% or greater direct ownership interest	100%	1996-01-01
Agh1 LLC Organization	adp of the snf	—	2025-06-13
Dcb Real Estate Partnership Lp Organization	adp of the snf	—	2025-04-11
Fg LLC Organization	adp of the snf	—	2016-12-02
Forvis Mazars LLP Organization	adp of the snf	—	2021-08-16
Houston Properties LLC Organization	adp of the snf	—	2010-01-01
Mid States Inc. Organization	adp of the snf	—	2010-11-01
Sovereign Healthcare Group LLC Organization	adp of the snf	—	2025-04-06
Van De Ven LLC Organization	adp of the snf	—	2000-01-01
Agh1 LLC Organization	operational/managerial control	—	2016-12-02
Sovereign Healthcare Group LLC Organization	operational/managerial control	—	2021-04-23
Beaird, Todd Individual	adp of the snf	—	2022-01-01
Beers, Jonathan Individual	adp of the snf	—	2021-08-01
Shafer, Jodi Individual	adp of the snf	—	2023-01-01
Bedell, Donald Individual	corporate director	—	2001-01-22
Beaird, Todd Individual	corporate officer	—	2022-01-01
Bedell, Donald Individual	corporate officer	—	1997-01-06
Bedell, Bryan Individual	individual is an owner, partner or trustee of any adp of the snf	—	2025-05-12
Bedell, Donald Individual	operational/managerial control	—	1997-01-06
Beers, Jonathan Individual	operational/managerial control	—	2021-08-01
Shafer, Jodi Individual	operational/managerial control	—	2023-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Houston House.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Texas County.