Houston House: Staffing, Turnover, and Inspection Record
Houston House is a 96-bed for-profit nursing home in Houston, Missouri, part of Circle B Enterprises. In the CMS August 2026 release it reported 2.64 nurse aide hours per resident per day, 15% above the Missouri average of 2.29, and 47.2% nursing staff turnover (Missouri average 56.0%).
Houston House
1000 North Industrial DriveHouston, MO 65483
Texas County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Houston House, nurse aides logged 2.64 hours per resident per day, 15% above the Missouri average. With about 74 residents a day, that works out to roughly 196 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.64 | 2.29 | 2.32 |
| Licensed practical nurses | 0.81 | 0.68 | 0.86 |
| Registered nurses | 0.41 | 0.46 | 0.69 |
| All nursing staff | 3.86 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.44 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.2% of nursing staff at Houston House left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 20.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 2, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Houston House holds 4 of 5 overall; the Missouri average is 2.5.
About Houston House
- Ownership: For profit - Individual
- Chain: Circle B Enterprises, 36 homes
- Legal name: Houston No 1 Inc
- Medicare and Medicaid certified since: Sep 26, 1991
- Councils: resident council
- Area: rural
Nursing homes near Houston House
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hickory Manor Licking | 13.6 | 60 | 2.69 | 3.70 | 78.8% | 2 | None |
| Kabul Nursing Homes Inc Cabool | 15.2 | 99 | 2.10 | 3.14 | 35.0% | 5 | None |
| Autumn Oaks Caring Center Mountain Grove | 19.8 | 120 | 2.67 | 3.79 | 55.7% | 1 | $48,539 |
| Willow Care Nursing Home Willow Springs | 23.2 | 105 | 2.52 | 3.67 | 58.6% | 3 | None |
| Mountain View Healthcare Mountain View | 26.1 | 105 | 2.62 | 3.71 | 54.9% | 5 | None |
| Hartville Care Center Hartville | 30.4 | 58 | 2.26 | 3.05 | 36.7% | 3 | None |
| Seville Care Center Salem · abuse citation · staffing data not validated | 32.3 | 90 | — | — | 59.3% | 1 | None |
| Salem Memorial District Hospital Salem · no staffing data submitted | 32.3 | 18 | — | — | — | 3 | $92,988 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.