Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Houston House during CMS and state inspections, most recent first.
Surveyors found that dietary staff failed to maintain sanitary conditions in the kitchen and dry storage areas, including unlabeled food containers, a commercial range with heavy oily grime and food debris, dirty floors and plumbing under dishwashing areas, and a leaking sink with a nearby floor drain that had a broken cover and black grime. Ceiling diffusers in the kitchen and dry storage had visible dust and brown residue, and the dishwasher hood vent and exterior were soiled with dust and flaky grime. In dry storage, multiple dented canned goods, including vegetables, soups, and pumpkin, were stored on shelves instead of being removed, and food debris was scattered on the floor and along walls beneath shelving. Staff interviews confirmed that vents had not been cleaned as scheduled, the area under the dishwasher remained contaminated with a black substance, dented cans were not consistently removed from stock, and maintenance issues such as leaks and drain problems had not been fully addressed.
Incomplete transfer, bed-hold, and discharge documentation: The facility failed to include the daily bed-hold rate on transfer notices for several residents, omitted required appeal-rights and ombudsman/protection-and-advocacy contact information on multiple transfer/discharge forms, left one resident/responsible party signature off a transfer form, and did not document that one resident received a discharge summary with a recapitulation of stay and final status. Staff interviews confirmed the missing information should have been on the forms.
Two residents had inaccurate MDS documentation. One resident’s orders showed an indwelling urinary catheter with routine catheter care and drainage bag changes, but the MDS stated the resident did not use a catheter and was always incontinent of urine. Another resident’s quarterly MDS omitted a non-Alzheimer’s dementia diagnosis that appeared on a later quarterly MDS. The MDS Coordinator, Administrator, and DON stated the MDS should accurately reflect the resident’s diagnosis and catheter status.
Hospice Coordinated Plan of Care Missing Ordered Catheter and Wound Care: The facility failed to ensure a resident on hospice had a completed coordinated plan of care that included ordered urinary catheter care and specific wound treatments. The resident had severe cognitive impairment, was incontinent of bowel and bladder, had a pressure ulcer, and had orders for a urinary catheter, catheter care, and wound care, but the hospice plan did not identify the catheter or wound care details, the needed supplies, or who was responsible for providing the care.
Improper urinary catheter drainage bag placement: Two residents with urinary catheters and diagnoses of obstructive and reflux uropathy were observed with drainage bags touching the floor and, at times, placed above bladder level on the bed, allowing urine to drain back toward the bladder. Staff, including CNAs, an LPN, the DON, and the Administrator, stated the bags and tubing should remain below bladder level and off the floor.
Failure to Address PTSD in Care Planning: A resident with PTSD and dementia had a trauma-informed care assessment documenting nightmares, avoidance, and hypervigilance, but the care plan did not address PTSD, past trauma, triggers, or interventions. The spouse reported the resident needed care steps explained on bad days and became distressed when too many people were in the room, and the DON and Administrator stated PTSD care plans were expected to address triggers and interventions.
Staff failed to follow EBP and infection control practices during direct care for multiple residents. A nurse assistant and CNAs entered rooms without proper hand hygiene, missed gown use for EBP care, and repeatedly failed to change gloves or sanitize hands between dirty and clean tasks during incontinent care, catheter care, wound care, and transfers. An LPN also administered IV medication without a gown in an EBP room.
A facility failed to accurately code the MDS for a resident, omitting a PTSD diagnosis despite it being part of the resident's medical history. The MDS Coordinator and DON acknowledged the oversight, highlighting a discrepancy between the facility's practice and expectations for accurate resident assessments.
The facility failed to use pasteurized eggs for fried eggs with runny yolks, increasing the risk of food-borne illness for several residents. Observations revealed unsanitary conditions in the kitchen, including unrestrained hair, missing floor tiles, and maintenance issues with the walk-in refrigerator. Residents confirmed receiving undercooked eggs, and the facility acknowledged the need for pasteurized eggs and repairs.
Unsanitary Kitchen and Dry Storage Practices in Dietary Services
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to store and distribute food under sanitary conditions in the kitchen and dry storage areas, contrary to the facility’s own policies on food receiving, storage, and cleaning. Observations on multiple days showed four unlabeled clear plastic containers holding various cereals, despite policy requiring all foods to be labeled and dated. The commercial gas range had oily grime buildup around each burner, on the exterior surface, door handle, and oven interior, with scattered food debris on the floor beneath. The floor, wall, and plumbing pipes below the dishwashing counters and garbage disposal sink had scattered debris, an oily film, and a black substance. The dishwasher hood vent interior had a buildup of gray dust, and the commercial dishwasher exterior had flaky white grime with scattered debris on the floor beneath. A sink near the back door leaked onto the floor when water flowed from the faucet, and a nearby floor drain had a non‑intact cover with black grime buildup inside. In the dry food storage area, surveyors observed multiple dented cans of peas, pumpkin, condensed tomato soup, cream of celery soup, cream of chicken soup, and diced tomatoes with green chilies stored on shelves, despite facility staff stating dented or rusted cans should be returned and not left on the shelves. The dry storage area also had scattered food debris on the floor and along the walls below the food shelves, and two ceiling diffusers near the food shelves had dust buildup and a brown substance on their front exterior surfaces. Additional ceiling diffusers in the kitchen and near the dietary office were observed with dust buildup and a brown substance. Staff interviews confirmed awareness of black substance under the dishwasher, dented cans being kept in a cabinet until delivery day, a leaking kitchen sink, an uncleared clogged floor drain with a new cover on order, and that the vent over the dishwasher and ceiling vents had not been cleaned as scheduled. The Administrator acknowledged that the kitchen and dining area should be kept in good repair, vents should be clean, the floor should not have a black substance with signs of mold, and dented cans should not be on the dry storage shelves.
Incomplete Transfer, Bed-Hold, and Discharge Documentation
Penalty
Summary
The facility failed to provide complete bed-hold information on transfer notices for five residents transferred to the hospital. For Residents #3, #13, #20, #27, and #81, the Notice of Resident Transfer or Discharge and Bed-Hold and Return Notification forms did not include the daily bed-hold rate. The facility’s Bed-Holds and Returns policy stated that residents and/or representatives are to receive written information about the facility and state bed-hold policies, including the facility per-diem rate required to hold a bed beyond the state bed-hold period. The facility also failed to include required appeal-rights and advocacy contact information on transfer and discharge notices for six residents, including the name, address, email, and telephone number of the entity receiving appeals, the Office of the State Long Term Care Ombudsmen contact information, and the mailing and email addresses for agencies protecting residents with intellectual disabilities and mental illness. For Resident #27, the transfer/discharge forms dated 12/03/25 and 12/15/25 also lacked the resident or responsible party signature, and the forms documented that the resident wished to reserve the room. Staff interviews confirmed that the appeal and ombudsman information should have been on the forms and that the bed-hold rate should have been documented. For Resident #81, who was transferred to the hospital and later discharged to home, the facility did not provide documentation that the resident and/or representative received the written discharge summary containing a recapitulation of the stay and a final summary of the resident’s status. The facility’s Transfer or Discharge policy required documentation of the basis for transfer or discharge, notice to the resident or representative, and the required discharge information. During interviews, staff stated that the bed-hold rate was $218, that notices were usually sent with the resident or mailed, and that the forms should have included the appeal and ombudsman contact information.
Inaccurate MDS Documentation for Catheter Use and Diagnosis
Penalty
Summary
The facility failed to document accurate MDS assessments for two residents. For one resident with diagnoses of obstructive and reflux uropathy and stroke, the physician’s orders included a urinary catheter, catheter care every shift and as needed, and drainage bag changes every seven days, but the significant change MDS dated 02/26/26 indicated the resident did not utilize an indwelling urinary catheter and was always incontinent of urine. The RAI Manual states that H0300 should be coded 9, not rated, when the resident had an indwelling bladder catheter for the entire seven-day look-back period. For another resident with diagnoses of unspecified dementia and anxiety, the quarterly MDS dated 12/08/26 identified non-Alzheimer’s dementia, while the quarterly MDS dated 03/05/26 did not include that diagnosis. During interview, the MDS Coordinator stated the MDS should accurately reflect the resident, including diagnosis and catheter status. The Administrator and DON also stated the MDS should show an accurate picture of the resident, such as whether the resident had a catheter.
Hospice Coordinated Plan of Care Missing Ordered Catheter and Wound Care
Penalty
Summary
The facility failed to ensure that Resident #13 had a completed hospice coordinated plan of care that included all ordered care and services, including urinary catheter care and wound care. Resident #13 was admitted to hospice for heart failure and had severe cognitive impairment, was always incontinent of bladder and bowel, had a pressure ulcer, received wound care, and had no urinary catheter on the significant change MDS. The physician orders included a urinary catheter with scheduled changes, catheter care every shift and PRN, drainage bag changes weekly, and specific wound treatments for the coccyx and left lower extremity. The resident’s care plan, revised after the hospice admission, identified hospice services, an inoperable left lower leg occlusion with a pressure wound, a coccyx pressure ulcer, and a urinary catheter. However, the hospice coordinated plan of care dated 02/28/26 failed to address the urinary catheter orders, including who would provide the supplies and catheter care, and failed to address the specific wound care treatments, including who would provide the wound care supplies and who would provide the wound care treatments. During interview, the DON and Administrator stated the hospice coordinated plan of care should address catheter care, supplies, wound care, and responsibility for providing those services.
Improper urinary catheter drainage bag placement
Penalty
Summary
The facility failed to ensure proper placement of urinary indwelling catheter drainage bags and tubing for two residents with urinary catheters. Resident #3 had diagnoses of obstructive and reflux uropathy and orders for a urinary catheter with catheter care every shift and as needed. During observation, the resident’s catheter drainage bag was hung on the bed frame but the bottom of the bag touched the floor, and later the bag was placed on the foot of the bed above bladder level, allowing urine to drain back toward the bladder in the tubing. Resident #13 also had obstructive and reflux uropathy and orders for a urinary catheter, catheter care every shift and as needed, and drainage bag changes weekly. Observations showed the drainage bag lying on the floor with the valve side on the floor and tubing on the floor, and later the bag was again placed on the foot of the bed above bladder level with urine draining back toward the bladder. Staff interviews confirmed the expected practice that catheter drainage bags should remain below bladder level and not on the floor. CNA B and CNA C stated the bags should not be on the floor or above the bladder level. An LPN said the drainage bag should be below the resident and not on the floor even in a dignity bag. CNA F stated the bags should be above the floor and below the bladder, and CNA E said the bag should never be on the floor. The DON and Administrator also stated catheters were expected to remain below bladder level and not on the floor, and the tubing should not be on the floor.
Failure to Address PTSD Triggers and Interventions in Care Plan
Penalty
Summary
The facility failed to identify, assess, and provide supportive interventions for one resident with PTSD. The resident had diagnoses of PTSD and dementia and was admitted on 03/11/26. The resident’s physician orders included prazosin for sleep terrors, and the PASRR dated 04/02/26 identified chronic PTSD. The facility’s Trauma Informed Care Assessment completed on 03/11/26 documented that the resident had experienced a traumatic event, had nightmares about the events in the last month, tried hard not to think about the events or avoided situations that reminded him/her of the events, and was constantly on guard, watchful, or easily startled. The resident’s care plan dated 03/18/26 did not address PTSD, the resident’s past trauma, any triggers that could cause behaviors, or interventions. The facility’s policy stated that trauma-informed care should minimize triggers and re-traumatization, use the facility assessment, develop individualized care plans addressing past trauma, and identify and decrease exposure to triggers. During interview, the resident’s spouse stated that if the resident had a bad day, staff needed to explain each step of care, and if too many people were in the room, the resident would make it known that everyone needed to leave. The DON and Administrator stated that for any resident with PTSD, the care plan was expected to address triggers and interventions.
Failure to Follow EBP and Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to follow enhanced barrier precautions and infection control practices during direct resident care for multiple residents. Resident #13 had EBP signage on the door, yet a nurse assistant entered the room without performing hand hygiene and without putting on a gown or gloves, then handled the resident’s brief around the urinary catheter with bare hands before leaving the room and entering another resident’s room without hand hygiene or gloves. Resident #25 also had EBP signage, but staff provided Hoyer lift transfer and incontinent care without gowns, and later an LPN administered IV medication while wearing gloves but not a gown. During incontinent and catheter care, staff repeatedly failed to change gloves and perform hand hygiene between dirty and clean tasks. For Resident #13, a CNA cleaned the perineal area, catheter, buttocks, and other body areas without hand hygiene between steps, touched the resident’s bandaged toes, removed gloves, handled trash, and then gave the resident water with bare hands. For Resident #71, CNAs performed extensive incontinent and wound care but repeatedly reused gloves and did not perform hand hygiene while cleaning fecal matter, removing a soiled dressing, handling wound cleanser, and moving between contaminated and clean tasks. For Resident #25, CNAs performed transfer and incontinent care without gowns and with multiple missed hand hygiene opportunities during glove changes and repositioning. Similar infection control failures were observed for Residents #4, #3, and #42 during catheter and incontinent care. Staff cleaned perineal areas and urinary catheters without changing gloves or performing hand hygiene between dirty and clean steps, and in one instance used the same area of a wipe multiple times to clean the catheter area. The facility’s policies required hand hygiene before and after resident contact, after glove removal, and between dirty and clean tasks, but staff interviews confirmed that hand hygiene and glove changes should occur during these activities and that gowns should be used for EBP transfers, perineal care, toileting, wound care, catheter care, and IV-related care.
Inaccurate MDS Coding for Resident with PTSD
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for a resident, leading to a deficiency in the assessment process. Specifically, the MDS for a resident with multiple diagnoses, including PTSD, did not address the PTSD diagnosis. This oversight was identified during a review of the resident's medical record and the annual MDS. The facility's policy requires that the information on the assessment reflects the resident's status during the observation period, but this was not adhered to in this case. Interviews with the MDS Coordinator and the Director of Nursing (DON) revealed that the PTSD diagnosis should have been included in the MDS. The MDS Coordinator mentioned that if a diagnosis like diabetes was not mentioned by the physician for 60 days, it would not be addressed in the MDS assessment. However, the DON and Administrator stated that they expected the MDS to accurately reflect the resident's condition and diagnoses at the time of the assessment, indicating a discrepancy between the facility's practice and expectations.
Failure to Use Pasteurized Eggs and Maintain Sanitary Conditions
Penalty
Summary
The facility failed to store and distribute food under sanitary conditions, which increased the risk of cross-contamination and food-borne illness. Specifically, the facility did not utilize pasteurized eggs to prepare fried eggs with uncongealed yolks for seven residents. Observations revealed that the kitchen staff, including Dietary Aides, were not fully restraining their hair as required by the facility's policy. Additionally, the facility lacked a policy on the use of pasteurized eggs, and the dietary staff had not been trained to use pasteurized eggs for runny yolk preparations. Further observations of the kitchen and dining areas revealed several maintenance issues that could contribute to unsanitary conditions. These included an emptied disposable towel dispenser, a section of vinyl baseboard peeled away, dust and a brown substance on ceiling diffusers, and missing floor tiles. The walk-in refrigerator was found to have no pasteurized eggs, with several boxes of non-pasteurized eggs present. The refrigerator also had a black substance on the door gasket, holes in the interior walls, and ice build-up, all of which were acknowledged by the Dietary Manager and Maintenance Director as needing repair. Interviews with residents confirmed that they were served fried eggs with runny yolks, which is their preference, but these were prepared using non-pasteurized eggs. The Dietary Manager and Administrator acknowledged the issue, noting that pasteurized eggs should have been used, and the residents were put on high awareness for the risk of food-borne illness. The Director of Nursing was informed, and the facility planned to replace non-pasteurized eggs with pasteurized ones to prevent further risk.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Houston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hickory Manor | 13.6 mi | ★★★★★ | 17 | 0 |
| Kabul Nursing Homes Inc | 15.2 mi | ★★★★★ | 0 | 0 |
| Autumn Oaks Caring Center | 19.8 mi | ★★★★★ | 1 | 0 |
| Willow Care Nursing Home | 23.2 mi | ★★★★★ | 8 | 0 |
| Mountain View Healthcare | 26.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.