Holly Hall
2000 Holly Hall St, Houston, TX 77054
Phone: 7137999031
CMS ratings and facility information
Holly Hall is a Medicare-certified nursing facility in Houston, Harris County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 3 of 5 |
| Staffing rating | 4 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 62 |
| Ownership | For profit - Limited Liability company |
| CMS certification number | 676306 |
Staffing
| Total nurse hours per resident day | 4.74 |
|---|---|
| RN hours per resident day | 0.56 |
| Nurse aide hours per resident day | 2.73 |
| Total nursing staff turnover percent | 58.7 |
| RN turnover percent | 40 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 0 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 11.21 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 1.69 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 0 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-10-07 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-10-07 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2025-10-07 | 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E |
| 2025-10-07 | 0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2025-10-07 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2025-10-07 | 0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-10-07 | 0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | E |
| 2025-10-07 | 0693 | Ensure 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. | D |
| 2025-10-07 | 0761 | Ensure 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. | D |
| 2025-10-07 | 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D |
| 2025-10-07 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2025-10-07 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2025-10-07 | 0814 | Dispose of garbage and refuse properly. | B |
| 2023-06-08 | 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E |
| 2023-06-08 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E |
| 2023-06-08 | 0758 | Implement 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. | E |
| 2023-06-08 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-06-08 | 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D |
| 2023-06-08 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2023-06-08 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| CLOUSE, AUTUMN | Individual | CORPORATE DIRECTOR |
| DREW, PETER | Individual | CORPORATE OFFICER |
| HOLLY HALL | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| DREW, PETER | Individual | OPERATIONAL/MANAGERIAL CONTROL |
Compare nursing homes in Harris County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.