Nursing homes › Texas › Holly Hall
2000 Holly Hall St, Houston, TX 77054 · 7137999031 · 62 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 4.74 (Texas median: 3.27). RN hours: 0.56. Weekend total: 4.15. Nursing staff turnover: 59%.
All-time on record: 24 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-10-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-10-08 |
| 2025-10-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | 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. | E | Health | corrected 2025-10-08 |
| 2025-10-07 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2025-10-08 |
| 2025-10-07 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-10-08 |
| 2025-10-07 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2025-10-08 |
| 2025-10-07 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2025-10-08 |
| 2025-10-07 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | 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. | D | Health | corrected 2025-10-08 |
| 2025-10-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-10-08 |
| 2025-10-07 | Dispose of garbage and refuse properly. | B | Health | corrected 2025-10-08 |
| 2024-10-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | 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. | D | complaint | 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. | E | complaint | corrected 2024-04-24 |
| 2024-04-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-04-24 |
| 2023-06-08 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | 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 | E | Health | 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. | E | Health | 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. | E | Health | 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. | D | Health | corrected 2023-07-28 |
| 2023-06-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | corrected 2023-07-28 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CLOUSE, AUTUMN | Corporate Director | Individual | NOT APPLICABLE | since 07/15/2019 |
| DREW, PETER | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2022 |
| HOLLY HALL | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2018 |
| DREW, PETER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676306. Corrections: data@carerecords.org.