Inspection Reports for
Houston House
1000 NORTH INDUSTRIAL DR, HOUSTON, MO, 65483-9400
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
8.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% worse than Missouri average
Missouri average: 5.5 deficiencies/year
Deficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
79% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate 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: 76
Deficiencies: 2
Date: Feb 7, 2025
Visit Reason
Routine inspection conducted to assess compliance with federal regulations including accuracy of resident assessments and food safety requirements.
Findings
The facility failed to accurately code the Minimum Data Set (MDS) for one resident and did not address PTSD diagnosis in the annual MDS. Food safety violations were found including failure to use pasteurized eggs and unsanitary kitchen conditions.
Deficiencies (2)
F641 Accuracy of Assessments: The facility failed to accurately code the Minimum Data Set for one resident and did not address PTSD diagnosis in the annual MDS.
F812 Food Procurement, Store, Prepare, Serve-Sanitary: The facility failed to store and distribute food under sanitary conditions, increasing risk of cross-contamination and food-borne illness, including use of non-pasteurized eggs and unsanitary kitchen conditions.
Report Facts
Residents sampled for MDS accuracy: 18
Residents affected by food safety issue: 7
Facility census: 76
Inspection Report
Life Safety
Census: 76
Deficiencies: 4
Date: Feb 7, 2025
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related regulations.
Findings
The facility failed to maintain emergency lighting in the medication room and improperly used power strips without surge protection in the mechanical room, potentially affecting all residents and staff.
Deficiencies (4)
K291 Emergency Lighting: The facility failed to maintain emergency task lighting in the medication room as required by NFPA 99. Observation showed the emergency light had been removed and was not replaced at the time of inspection.
K920 Electrical Equipment - Power Cords and Extension Cords: The facility used power strips without surge protection in the mechanical room, violating NFPA 101 standards. Temporary wiring was not restricted, potentially affecting all residents and staff.
A2050 Emergency Lighting: The facility did not meet requirements for emergency lighting intensity and automatic transfer switch testing as required by 19 CSR 30-85.022(25).
A3037 Extension Cords/Duplex Receptacles: Extension cords were not UL-approved or properly used, violating 19 CSR 30-85.032(37).
Report Facts
Facility census: 76
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
Annual Inspection
Census: 74
Deficiencies: 5
Date: Dec 14, 2023
Visit Reason
The inspection was an annual survey conducted to assess compliance with federal and state regulations for Houston House, a healthcare facility.
Findings
The facility was found to have multiple deficiencies including failure to treat residents with dignity and respect, inadequate privacy during care, failure to complete ongoing re-evaluations for restraints, lack of trauma-informed care policies, food safety violations, and infection control deficiencies.
Deficiencies (5)
F550 Resident Rights: The facility failed to ensure staff treated residents with dignity and respect, leaving two residents exposed during care and failing to provide privacy during incontinent and wound care.
F604 Right to be Free from Physical Restraints: The facility failed to complete ongoing re-evaluations for restraints for three residents and lacked a restraint policy.
F699 Trauma Informed Care: The facility failed to identify, assess, and provide supportive interventions for two residents with PTSD and did not have a PTSD policy.
F812 Food Procurement, Store, Prepare, Serve, Sanitary: The facility failed to store and distribute food under sanitary conditions, increasing risk of cross-contamination and food-borne illness.
F880 Infection Prevention & Control: The facility failed to maintain adequate infection control practices, including poor hand hygiene among staff and inadequate catheter care for residents.
Report Facts
Facility census: 74
Deficiencies cited: 5
Inspection Report
Life Safety
Census: 74
Capacity: 76
Deficiencies: 9
Date: Dec 14, 2023
Visit Reason
The inspection was a Life Safety Code survey conducted to assess compliance with fire safety and emergency preparedness regulations at Houston House.
Findings
The facility failed to maintain proper emergency preparedness including subsistence needs, self-closing doors, illumination of means of egress, exit signage, hazardous area enclosures, cooking facility safety, fire alarm system maintenance, and fire drills. Multiple deficiencies were cited that potentially affected all residents and staff.
Deficiencies (9)
E015: The facility failed to maintain proper nourishment and subsistence needs for staff and residents during emergencies, including food, water, medical, and pharmaceutical supplies.
K223: Doors to hazardous areas lacked self-closing devices or had impediments to proper closing and latching, violating NFPA 101 standards.
K281: The facility failed to maintain illumination of means of egress, including emergency lighting in the central courtyard, as required by NFPA 101.
K293: Exit signage was missing in the interior courtyard, failing to clearly indicate evacuation directions for occupants.
K321: Hazardous areas were not properly enclosed with fire barriers and smoke-resistant partitions; penetrations were sealed with non-fire rated caulk.
K324: The kitchen range hood system was not maintained or certified as required, and staff lacked knowledge of fire safety procedures in the kitchen.
K345: The fire alarm system lacked complete and verifiable documentation of annual testing and maintenance, and no qualifications were provided for the Fire Alarm Service Technician.
K374: Smoke barrier doors were not maintained properly, compromising the means of egress and fire safety; doors lacked self-closing or automatic closing devices.
K712: The facility failed to conduct fire drills quarterly on each shift as required, affecting all residents and staff safety.
Report Facts
Facility census: 74
Facility max census: 76
Staff count: 40
Emergency water on site (gallons): 121
Required emergency water (gallons): 1044
Employees mentioned
| Name | Title | Context |
|---|---|---|
| FAST A | Fire Alarm Service Technician | Named in relation to fire alarm system inspection and certification |
| Maintenance Department Supervisor | Interviewed regarding fire safety and maintenance issues | |
| Food Service Employee (FSS) A | Interviewed regarding kitchen fire safety procedures | |
| Facility Administrator | Involved in education and monitoring of fire safety and emergency preparedness |
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
Complaint Investigation
Census: 61
Deficiencies: 3
Date: Feb 5, 2023
Visit Reason
The inspection was conducted in response to allegations of abuse, neglect, exploitation, or mistreatment involving a resident at Houston House.
Complaint Details
The complaint investigation was substantiated. The facility failed to report an allegation of verbal abuse made by Resident #1 within the required two-hour timeframe to the State Survey Agency.
Findings
The facility failed to report an allegation of abuse made by a resident within the required two-hour timeframe to the State Survey Agency. Additionally, the facility did not document timely follow-up on physician orders for a resident, including referrals and medical equipment orders.
Deficiencies (3)
F609: The facility failed to ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately, within two hours if involving abuse or serious bodily injury. The facility did not report an allegation of verbal abuse made by a resident within the required timeframe.
F658: The facility failed to document timely follow-up on physician orders for a resident, including referrals for a stump sock and knee brace, and did not ensure medical equipment orders were completed or appointments scheduled.
A4075: The facility did not meet professional standards of nursing care per resident condition as evidenced by failure to follow up on physician orders timely. Refer to F658 for details.
Report Facts
Facility census: 61
Plan of correction completion date: 2023
Inspection Report
Routine
Deficiencies: 0
Date: Jan 10, 2023
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control survey was conducted to assess compliance with CMS and CDC recommended practices.
Complaint Details
This was a complaint investigation related to COVID-19 focused infection control. No deficiencies were cited.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19. No deficiencies were cited during this complaint investigation.
Inspection Report
Plan of Correction
Census: 52
Deficiencies: 1
Date: Mar 30, 2022
Visit Reason
The inspection was conducted to assess compliance with COVID-19 vaccination requirements for facility staff as part of regulatory oversight.
Findings
The facility failed to ensure 100% of staff were fully vaccinated against COVID-19 or had qualifying exemptions. Two employees had medical exemptions not recognized by CDC guidelines, and 30 residents tested positive for COVID-19 in the prior four weeks.
Deficiencies (1)
F888 COVID-19 vaccination of facility staff. The facility failed to ensure all staff were fully vaccinated or had qualifying exemptions as required by federal regulations.
Report Facts
Facility census: 52
Staff total: 62
Staff fully vaccinated: 34
Staff with exemptions: 28
Residents tested positive for COVID-19: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee A | Named in medical exemption finding and vaccination review | |
| Employee B | Named in medical and religious exemption finding and vaccination review |
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 |
Inspection Report
Annual Inspection
Census: 52
Capacity: 96
Deficiencies: 13
Date: Oct 19, 2021
Visit Reason
Annual inspection survey conducted to assess compliance with emergency preparedness, life safety, and other regulatory requirements at Houston House.
Findings
The facility failed to perform a required yearly review of the Emergency Operations Plan and did not maintain adequate emergency preparedness policies and procedures. Deficiencies were also found in life safety code compliance including corridor doors, electrical systems, oxygen storage, and wastebasket approvals.
Deficiencies (13)
E004: Facility failed to perform the required yearly review and update of the Emergency Operations Plan, potentially delaying emergency response actions.
E006: Facility failed to develop and maintain an Emergency Operations Plan based on a documented, facility-based and community-based risk assessment, missing strategies for emergency events.
E015: Facility failed to develop and implement emergency preparedness policies and procedures addressing subsistence needs such as food, water, emergency lighting, fire detection, and waste disposal.
E030: Facility failed to develop and maintain an emergency preparedness communication plan including names and contact information for staff, physicians, and volunteers.
K363: Facility failed to maintain smoke resistive properties of corridor doors; several doors would not latch properly, risking smoke passage during fire.
K911: Facility failed to maintain electrical wiring compliance with National Electrical Code, including improper storage near electrical panels and use of power taps.
K920: Facility failed to ensure power strips and extension cords met safety standards and were used properly in patient care areas.
K923: Facility failed to keep oxygen canisters separated from combustibles and properly segregated full and empty oxygen canisters in storage.
A2010: Oxygen storage did not comply with NFPA 99 standards, risking safety hazards.
A2071: Trash cans were not Underwriters Laboratory or Factory Mutual approved, risking fire safety in smoke compartments.
A3001: Facility building was not substantially maintained in good repair per licensing requirements.
A3030: Electrical wiring and equipment were not maintained according to NFPA 70 standards.
A3037: Extension cords and duplex receptacles were not used or installed according to safety standards.
Report Facts
Facility capacity: 96
Resident census: 52
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Sep 1, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control survey was conducted to assess compliance with relevant CMS and CDC guidelines.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 29, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control survey was conducted as a complaint investigation to assess compliance with CMS and CDC recommended practices related to COVID-19.
Complaint Details
This complaint investigation found no deficiencies and the facility was compliant with all applicable COVID-19 emergency preparedness and infection control requirements.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended infection control practices. No deficiencies were cited during this complaint investigation.
Inspection Report
Routine
Deficiencies: 0
Date: Dec 10, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control survey was conducted to assess compliance with relevant federal regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 1, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control survey was conducted as a complaint investigation to assess compliance with CMS and CDC recommended practices.
Complaint Details
No deficiencies were cited on this complaint investigation.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control. No deficiencies were cited during this complaint investigation.
Inspection Report
Routine
Deficiencies: 0
Date: May 22, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness survey and a COVID-19 Focused Infection Control Survey were conducted to assess compliance with relevant regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control.
Inspection Report
Census: 66
Deficiencies: 2
Date: May 24, 2019
Visit Reason
The inspection was conducted to assess compliance with quality of care standards, specifically focusing on wound care and infection control practices at Houston House.
Findings
The facility failed to routinely and accurately monitor, assess, and document wounds for two residents, resulting in inadequate wound care and infection control practices. Deficiencies were noted in hand hygiene, wound treatment procedures, and documentation of wound assessments.
Deficiencies (2)
F684 Quality of care was not met as the facility failed to routinely and accurately monitor, assess, and document wounds for two residents, leading to potential infection or deterioration. Hand hygiene and wound care procedures were not properly followed by staff.
A4074 Nursing care per resident condition was not met as residents did not receive personal attention and nursing care consistent with their condition and current acceptable nursing practice. This deficiency references F684.
Report Facts
Resident census: 66
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Doug Huff | Administrator | Signed the inspection report and plan of correction |
Inspection Report
Life Safety
Deficiencies: 0
Date: May 24, 2019
Visit Reason
The visit was conducted as an Emergency Preparedness and Licensure Inspection to assess compliance with life safety and state licensure requirements.
Findings
No deficiencies were cited as a result of the Emergency Preparedness survey or the Licensure Inspection. The facility meets the applicable provisions of the 2012 edition of the Life Safety Code of the National Fire Protection Association.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bonny Huth Ann | Administrator | Signed the inspection report as the provider/supplier representative. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 19, 2018
Visit Reason
The visit was an annual recertification survey and licensure inspection/complaint investigation for Houston House.
Complaint Details
No state licensure deficiencies were cited as a result of this inspection and complaint investigation.
Findings
No deficiencies were cited as a result of the annual recertification survey or the licensure inspection/complaint investigation.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 19, 2018
Visit Reason
The inspection was conducted as an annual recertification survey to assess compliance with licensure and life safety code requirements.
Findings
No deficiencies were cited during the licensure inspection or the life safety code survey. The facility met applicable provisions of the 2012 edition of the Life Safety Code.
Document
Deficiencies: 0
Visit Reason
The document does not contain any information regarding an inspection or regulatory visit.
Findings
No findings or content related to facility inspection or compliance are present in the document.
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