Holly Hall
2000 Holly Hall St, Houston, TX 77054 · CCN 676306
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 62
- Avg residents/day
- 36.3
- Phone
- 7137999031
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-10-07 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2024-08-29 | 4 | 9.4 | 9.8 | -5.4 better |
| 3 | 2023-06-08 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.53 | 55.3% |
| RN staffing (reported) | 0.54 | 70.0% |
| Total nurse staffing (adjusted) | 4.44 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (24)
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- EF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- BF0814Dispose of garbage and refuse properly.2025-10-07 · Health · corrected 2025-10-08
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-10-07 · Health · corrected 2025-10-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-03 · Health · corrected 2024-11-05
Potential for more than minimal harm
- DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-06-29 · Health · corrected 2024-08-14
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-03 · Health · corrected 2024-04-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-03 · Health · corrected 2024-04-24
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-07-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HOLLY HALL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-07-01 |
| DREW, PETER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-01 |
| CLOUSE, AUTUMN | Individual | CORPORATE DIRECTOR | — | 2019-07-15 |
| DREW, PETER | Individual | CORPORATE OFFICER | — | 2022-08-01 |
Other facilities in Houston
| Name | Overall | Beds |
|---|---|---|
| Treemont Health Care Center | ★★★★★ | 70 |
| ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT | ★★★★★ | 158 |
| Sharpville Residence and Rehabilitation Center | ★★★★☆ | 134 |
| Ashford Gardens | ★★★★☆ | 202 |
| Caraday of Houston | ★★★★☆ | 150 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.