CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Houston House is a 4-star Medicare and Medicaid certified nursing home in Houston, Missouri with 96 certified beds. It has been operating since 1991. Its overall CMS rating is 4 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Provide care or services that was trauma informed and/or culturally competent.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Assure that each resident’s assessment is updated at least once every 3 months.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jan 1, 1996 |
| BEDELL, DONALD | CORPORATE DIRECTOR | Individual | N/A | Jan 22, 2001 |
| BEAIRD, TODD | CORPORATE OFFICER | Individual | N/A | Jan 1, 2022 |
| BEDELL, DONALD | CORPORATE OFFICER | Individual | N/A | Jan 6, 1997 |
| AGH1 LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 2, 2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 23, 2021 |
| BEDELL, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 6, 1997 |
| BEERS, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2021 |
| SHAFER, JODI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2023 |
| BEDELL, BRYAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | May 12, 2025 |
| AGH1 LLC | ADP OF THE SNF | Organization | N/A | Jun 13, 2025 |
| DCB REAL ESTATE PARTNERSHIP LP | ADP OF THE SNF | Organization | N/A | Apr 11, 2025 |
| FG LLC | ADP OF THE SNF | Organization | N/A | Dec 2, 2016 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | N/A | Aug 16, 2021 |
| HOUSTON PROPERTIES LLC | ADP OF THE SNF | Organization | N/A | Jan 1, 2010 |
| MID STATES INC | ADP OF THE SNF | Organization | N/A | Nov 1, 2010 |
| SOVEREIGN HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | N/A | Apr 6, 2025 |
| VAN DE VEN LLC | ADP OF THE SNF | Organization | N/A | Jan 1, 2000 |
| BEAIRD, TODD | ADP OF THE SNF | Individual | N/A | Jan 1, 2022 |
| BEERS, JONATHAN | ADP OF THE SNF | Individual | N/A | Aug 1, 2021 |
| SHAFER, JODI | ADP OF THE SNF | Individual | N/A | Jan 1, 2023 |
Compare CMS ratings and recorded fines for Houston House and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 36 facilities. View all →