Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (35% of admissions), and a typical private pay stay runs around 3 months.
Located in Houston, Missouri, Houston House is a nursing facility operated by Houston #1, Inc, and owned by Jodi Shafer. The 96-bed home is located at 1000 North Industrial Drive and accepts Medicare, Medicaid, and private pay, giving families flexibility in covering care costs. The facility has an occupancy rate of 79%, with 76 residents.
The home provides rehabilitation services. Nurse staffing averages 3 hours and 55 minutes per resident per day, comprising registered nurses, licensed vocational nurses, licensed practical nurses, and nurse aides. The level of around-the-clock care supports residents recovering from acute events or managing ongoing medical needs. Most stay for an average of 183 days, including short-term post-acute patients and longer-stay residents.
The neighborhood around Houston House is somewhat walkable, with a Walk Score of 40. Some nearby services may be accessible on foot, but most visits and errands require transportation. This setting is best for residents and families who want a quieter and less congested environment outside a city center.
State inspections identified areas for improvement related to documentation accuracy, food service safety, resident care procedures, and infection control practices. These recur across multiple inspection cycles, so there’s ongoing attention to operational standards. Families considering Houston House should take a tour and ask how the facility addresses these operational areas.
Houston House is legally operated by Houston #1, Inc, and administered by Jodi Shafer.
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.
Deficiencies
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This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
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Total deficiencies
|
62 | 35 | This facility has 77% more total deficiencies than a typical Missouri assisted living residence (62 vs. MO avg 35).↑ 77% worse |
|
Deficiencies per year
|
12.4 | 7 | This facility has 77% more deficiencies per year than a typical Missouri assisted living residence (12.4 vs. MO avg 7).↑ 77% worse |
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Deficiencies per inspection
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4.1 | 5 | This facility has 18% fewer deficiencies per inspection than a typical Missouri assisted living residence (4.1 vs. MO avg 5).↓ 18% better |
Inspections
|
This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
|
15 | 7 | This facility has 114% more total inspections than a typical Missouri assisted living residence (15 vs. MO avg 7).↑ 114% worse |
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
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.
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,742 contractor hours this quarter
| Certified Nursing Assistant | 40 | 0 | 40 | 11,135 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,177 | 92 | 100% | 7.6 |
| Nurse Aide in Training | 19 | 0 | 19 | 3,996 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,658 | 92 | 100% | 8.6 |
| Registered Nurse | 6 | 0 | 6 | 2,379 | 92 | 100% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,016 | 91 | 99% | 8.1 |
| Dental Services Staff | 4 | 0 | 4 | 1,008 | 65 | 71% | 7 |
| Physical Therapy Aide | 0 | 2 | 2 | 968 | 71 | 77% | 8.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 489 | 63 | 68% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 120 | 41 | 45% | 2.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 70 | 49 | 53% | 1.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 29 | 3 | 3% | 9.7 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 17 | 14 | 15% | 1.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
32% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Houston House from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (35% of admissions), and a typical private pay stay runs around 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Houston's city center to Houston House's address, calculated via Google Maps.
Add your location
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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| Houston House |
NH
AL
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Houston | - | 96 | - | 40 | - |
| Armour Oaks Senior Living Community |
NH
AL
IL
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Kansas City (Waldo Homes) | - | 38 | A+ | 73 | Studio / 1 Bed / 2 Bed / 3 Bed |
| Breeze Park – Lutheran Senior Services |
NH
AL
IL
MC
|
Weldon Spring | - | 50 | A+ | 2 | 1 Bed / 2 Bed |
| John Knox Village |
NH
AL
HC
IL
MC
RC
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Lee's Summit | - | 408 | A+ | 58 | 1 Bed / 2 Bed |
| Farmington Presbyterian Manor |
NH
AL
IL
MC
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Farmington | - | 90 | A+ | 66 | - |
Houston House is legally operated by Houston #1, Inc, and administered by Jodi Shafer.
Houston House has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Houston House's license number is 052965.
According to MO state health department records, Houston House's license expires on August 31, 2027.
Houston House's occupancy is 79%.
Houston House is registered as a for-profit in MO.
Jodi Shafer is the administrator of Houston House.
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