Inspection Reports for
Houston House
1000 NORTH INDUSTRIAL DR, HOUSTON, MO, 65483-9400
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
76 residents
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Routine
Census: 76
Deficiencies: 5
Date: Feb 7, 2025
Visit Reason
The inspection was conducted to assess compliance with federal regulations regarding resident assessments and food safety practices in the facility.
Findings
The facility failed to accurately code the Minimum Data Set (MDS) for one resident, omitting a PTSD diagnosis, and failed to store and serve food under sanitary conditions, including serving undercooked fried eggs made from non-pasteurized eggs to several residents. Multiple maintenance and sanitation issues were also observed in the kitchen and dining areas.
Deficiencies (5)
Failed to accurately code the Minimum Data Set (MDS) for one resident, omitting PTSD diagnosis.
Failed to store and distribute food under sanitary conditions, including serving undercooked fried eggs made from non-pasteurized eggs to seven residents.
Dietary staff did not fully restrain hair under hairnets as required.
Walk-in refrigerator had holes, ice buildup, and black substance on door gasket.
Kitchen and dining area had missing floor tiles, debris, damp black substance on cabinetry, and ceiling diffusers with dust and brown substance.
Report Facts
Residents affected: 1
Residents affected: 7
Facility census: 76
Non-pasteurized eggs: 15
Non-pasteurized eggs: 1
Missing vinyl floor tiles: 14
Ceiling diffusers: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding MDS coding and diagnosis omission | |
| Director of Nursing (DON) | Interviewed regarding MDS accuracy and dietary concerns | |
| Administrator | Interviewed regarding MDS expectations and kitchen/dining area conditions | |
| Dietary Aide B | Observed and interviewed regarding hair restraint and egg preparation | |
| Dietary Aide C | Observed and interviewed regarding hair restraint | |
| Dietary Manager (DM) | Interviewed regarding dietary practices, hair restraint, and kitchen maintenance | |
| Maintenance Director | Interviewed regarding repairs needed in kitchen and dining areas |
Inspection Report
Routine
Census: 74
Deficiencies: 6
Date: Dec 14, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident dignity, restraint use, trauma-informed care, food safety, infection control, and catheter care at Houston House nursing home.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity and privacy during care, incomplete restraint re-evaluations and lack of restraint policy, failure to identify and address PTSD in residents, unsanitary food storage and preparation conditions, and inadequate infection prevention and control practices including poor hand hygiene and improper catheter care.
Deficiencies (6)
Failure to ensure staff treated residents with dignity and respect by leaving residents exposed during care without privacy measures.
Failure to complete ongoing re-evaluations for the continued need of restraints for sampled residents and lack of restraint policy.
Failure to identify, assess, and provide supportive interventions for residents with PTSD; lack of PTSD policy.
Failure to store and distribute food under sanitary conditions, including dirty kitchen equipment, unlabeled and undated food items, and dusty ice machine filters.
Failure to maintain adequate infection control practices including poor hand hygiene during feeding, incontinent care, catheter care, and medication administration.
Failure to keep catheter drainage bags off the floor and failure to perform appropriate catheter care.
Report Facts
Residents affected: 74
Dented cans: 1
Ceiling fluorescent light fixtures without covers: 10
Gloves and hand hygiene failures: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN K | Licensed Practical Nurse | Failed to provide privacy during wound care and commented on privacy expectations |
| CNA F | Certified Nursing Assistant | Commented on privacy and hand hygiene expectations |
| Director of Nursing | Director of Nursing (DON) | Provided statements on privacy, restraint assessments, PTSD care, and infection control expectations |
| Dietary Manager | Dietary Manager | Discussed kitchen cleanliness and maintenance responsibilities |
| CMT N | Certified Medication Technician | Observed failing to perform hand hygiene during medication administration |
| CNA J | Certified Nursing Assistant | Observed failing to perform hand hygiene and glove changes during incontinent and catheter care |
| RN L | Registered Nurse | Provided infection control and hand hygiene expectations |
Inspection Report
Census: 74
Deficiencies: 1
Date: Aug 1, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulations regarding resident readmission after hospitalization or therapeutic leave, specifically focusing on the facility's failure to reevaluate a resident for readmission following a psychological evaluation and emergency discharge.
Findings
The facility failed to reevaluate one resident for readmission after hospitalization and psychological evaluation, resulting in an emergency discharge without proper assessment of the resident's current condition to determine if the resident could safely return. The facility sent the resident to a psychiatric hospital due to behavioral concerns and did not document reassessment before discharge.
Deficiencies (1)
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Report Facts
Facility census: 74
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse A | Licensed Practical Nurse | Interviewed regarding resident discharge and psych evaluation |
| Licensed Practical Nurse B | Licensed Practical Nurse | Interviewed regarding emergency discharge procedures and resident status |
| Licensed Practical Nurse C | Licensed Practical Nurse | Interviewed regarding discharge documentation and resident psych evaluation |
| Social Services Director | Social Services Director | Interviewed regarding discharge notices and resident evaluation |
| Director of Nursing | Director of Nursing | Interviewed regarding resident discharge and safety concerns |
| Administrator | Administrator | Interviewed regarding decision for emergency discharge and resident evaluation |
Inspection Report
Routine
Census: 52
Deficiencies: 11
Date: Oct 19, 2021
Visit Reason
Routine inspection of Houston House nursing home to assess compliance with regulatory requirements including resident assessments, care planning, infection control, medication administration, and other care standards.
Findings
The facility failed to complete timely Minimum Data Set (MDS) assessments and comprehensive care plans for multiple residents, did not ensure proper documentation and monitoring of residents' code status and advance directives, failed to obtain ordered labs timely and lacked parameters for digoxin administration, did not consistently provide splint use for a resident with contracture, failed to maintain catheter care and orders, did not consistently provide nutritional interventions or document meal intake for residents with significant weight loss, failed to maintain proper infection control practices including quarantine and PPE use during COVID-19, and did not ensure timely administration of second COVID-19 vaccine doses for some residents.
Deficiencies (11)
Failure to complete admission and quarterly Minimum Data Set (MDS) assessments timely for multiple residents.
Failure to develop and implement comprehensive care plans addressing residents' specific needs.
Failure to consistently document and update residents' code status and advance directives across medical records.
Failure to obtain ordered laboratory tests timely and lack of parameters for digoxin administration for one resident.
Failure to consistently provide and document use of an occupational therapy recommended splint for a resident with contracture.
Failure to ensure catheter care and physician orders for catheter use for residents, and failure to prevent catheter bag from touching the floor.
Failure to provide adequate nutritional interventions, monitor and document meal intake, and notify physician of significant weight loss for residents.
Failure to maintain effective infection control program during COVID-19 pandemic including quarantine precautions and proper PPE use by staff.
Failure to ensure timely administration of second COVID-19 vaccine dose for two residents.
Failure to change oxygen tubing weekly, label tubing, and ensure physician orders for oxygen use and flow rates.
Failure to serve pureed diet portions according to approved recipes and scoop sizes.
Report Facts
Facility census: 52
Resident #140 admission date: 2021
Resident #140 weight loss: 34.13
Resident #13 weight loss: 18.4
Resident #140 digoxin dose: 0.125
Resident #32 oxygen flow rate: 2
Resident #27 oxygen flow rate: 6
Pureed diet scoop size: 5.33
Pureed diet served scoop size: 2.67
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Described oxygen tubing change procedures and quarantine PPE use |
| RN D | Registered Nurse | Discussed resident feeding, weight loss, catheter care, and quarantine PPE |
| CNA O | Certified Nurse Aide | Described resident feeding, quarantine PPE, and catheter bag care |
| Dietary Manager | Discussed pureed diet recipes, nutritional interventions, and weight loss monitoring | |
| Registered Dietician | Discussed pureed diet recipes and nutritional assessments | |
| DON | Director of Nursing | Discussed MDS assessments, care plans, infection control, oxygen therapy, and vaccination monitoring |
| Administrator | Discussed MDS assessments, care plans, infection control, oxygen therapy, and vaccination monitoring | |
| Pharmacist Consultant | Discussed COVID-19 vaccination timing and medication monitoring | |
| MDS/Care Plan Coordinator | Discussed MDS assessments, care plans, and weight loss concerns | |
| CMT L | Certified Medication Technician | Discussed digoxin administration and resident feeding |
| OT Staff | Occupational Therapist | Discussed splint recommendation and therapy procedures |
| PT G | Physical Therapist | Discussed quarantine procedures for therapy |
| SSD | Social Service Director | Discussed quarantine procedures and COVID-19 vaccination education |
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