Occupancy rate
75%
In line with Missouri averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Houston House
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Houston House
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Houston House is a skilled nursing facility located in Houston, Missouri. It offers various services including physical, occupational, and speech therapy, as well as specialized diets and an activity program. The facility aims to provide a warm and caring atmosphere for residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 102nd out of 251 homes in Missouri.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 102nd out of 251 homes in Missouri.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 55m per day
vs Missouri avg
+3%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
96
Avg. Length of Stay
183 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
35% of new residents, often for short stays.
Typical stay
3 months
Medicaid
33% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.6M
Profit
$612.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.6M
Profit
$612.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.0M
96-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
72 / 96
Average residents
72 per day
Facility TypeSnf
CountyTexas
CMS Certification Number265470
Certification TypeMedicare/Medicaid
Houston House is legally operated by Houston #1, Inc, and administrated by Joy (jodi) Shafer.
Owner NameHOUSTON #1, INC
Rehabilitation Services
Skilled Nursing
Specific ProgramsServices, Facility, Resources, Staff, Calendar
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Feb 2025
Total health citations
22
Missouri average 36.5
Citations per inspection
4.4
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 22 citations resulted from standard inspections; and 3 of 22 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
22 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 07, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 07, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 07, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 07, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 14, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 14, 2023
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 14, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 14, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Aberdeen Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | 0 | 9 | 2.3 | 0 | 34 | - | - | Ashfield Active Living And Wellness Communities, Inc. | $27.3M | $7.2M | 26.3% | 265841 | ||||
| Bertrand Nursing And Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Houston House |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Houston | 96 | 75.1% | +13% | 3.91 | -40% | +5% | 0 | 22 | 4.4 | 0 | 74 | - | - | Shafer, Jodi | $6.6M | $2.5M | 38% | 265470 | ||||
| Good Shepherd Care Community | - |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
107
Employees
95
Contractors
12
Staff to resident ratio
1.41:1
18% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
41
Average shift
8.1 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
30,402
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.2%
1,886 contractor hours this quarter
Speech Language Pathologist: 3
Physical Therapy Aide: 2
Qualified Social Worker: 2
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 40 | 0 | 40 | 11,155 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 14 | 0 | 14 | 5,240 | 91 | 100% | 7.6 |
| Nurse Aide in Training | 17 | 0 | 17 | 4,223 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,609 | 91 | 100% | 8.5 |
| Registered Nurse | 5 | 0 | 5 | 2,142 | 91 | 100% | 8.1 |
| Dental Services Staff | 4 | 0 | 4 | 1,127 | 69 | 76% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 1,025 | 69 | 76% | 8.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 981 | 88 | 97% | 8.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 482 | 60 | 66% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 145 | 42 | 46% | 3.5 |
| Qualified Social Worker | 0 | 2 | 2 | 96 | 48 | 53% | 2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 67 | 54 | 59% | 1.2 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
40 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
17 Nurse Aide in Training
% of Days
100%
10 Medication Aide/Technician
% of Days
100%
5 Registered Nurse
% of Days
100%
4 Dental Services Staff
% of Days
76%
2 Physical Therapy Aide
% of Days
76%
3 Other Dietary Services Staff
% of Days
97%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Respiratory Therapy Technician
% of Days
66%
3 Speech Language Pathologist
% of Days
46%
2 Qualified Social Worker
% of Days
53%
1 Physical Therapy Assistant
% of Days
59%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapy Aide
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
76
Medicare
3
3.9% of residents
Medicaid
50
65.8% of residents
Private pay or other
23
30.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
18.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
18.0
64% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
57% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
37.7%
Percent of long-stay residents whose need for help with daily activities has increased
37.7%
91% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
33.5%
Percent of long-stay residents whose ability to move independently worsened
33.5%
63% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.7%
14% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
33% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.6%
Percent of long-stay high risk residents with pressure ulcers
8.6%
72% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
44% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.6%
Percent of long-stay residents who lose too much weight
4.6%
17% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
22.4%
Percent of long-stay residents who have depressive symptoms
22.4%
74% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.1%
Percent of long-stay residents who received an antipsychotic medication
21.1%
In line with Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
6% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.3%
In line with Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.9%
32% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Houston House based on CMS SNF Cost Reports.
Occupancy Rate
75.1%
↑ 17.5pp vs 2022
Net Income
$612.9K
↑ ~$495.6K vs 2022
Total Payroll
$3.1M
↑ ~$633.5K vs 2022
Profit Margin
9.3%
↑ 7.2pp vs 2022
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