Holly Hall

Nursing Home · Houston, TX

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number676306

Contact & location

2000 Holly Hall St
Houston, TX 77054
Harris County
Phone
(713) 799-9031
ZIP code
77054 – all care providers

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Facility details

Certified beds
62
Residents per day
37.5 (60% occupied)
Ownership
For profit - Limited Liability company
Medicare certified since
February 2, 2012
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.74 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.45 (state 0.95 · U.S. 0.86)
Nurse aides
2.73 (state 2.00 · U.S. 2.32)
Weekend total
4.15 (state 2.98 · U.S. 3.42)
Nursing staff turnover
58.7 (state 55.3 · U.S. 45.8)%
RN turnover
40.0 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
October 7, 2025
Health deficiencies (last cycle)
13.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
24 health · 4 fire safety
DateCitationSeverityStatus
2025-10-07 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
F0779 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-08
2025-10-07 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-10-08
2024-10-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-05
2024-06-29 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-14
2024-04-03 Honor 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-24
2024-04-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-24
2023-06-08 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-06-08 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-06-08 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-06-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-06-08 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-06-08 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-06-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Clouse, Autumn (individual)Corporate Director · NOT APPLICABLE
Drew, Peter (individual)Corporate Officer · NOT APPLICABLE
Drew, Peter (individual)Operational/managerial Control · NOT APPLICABLE
Holly Hall (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Holly Hall?

Holly Hall has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Holly Hall have?

It has 62 certified beds and cares for about 38 residents per day.

Has Holly Hall been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Holly Hall?

(713) 799-9031. The facility is located at 2000 Holly Hall St, Houston, TX 77054.

Other nursing homes in Houston

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.