Nursing home in Houston, Texas
Holly Hall
Medicare and Medicaid
2000 Holly Hall St, Houston, TX 77054
(713) 799-9031
CMS star ratings
CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home3
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home3
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home4
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Oct 7, 2025. CMS counts 13 health deficiencies in rating cycle 1.
- This nursing home13
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 17 health deficiencies on 4 inspection dates since Sep 30, 2023. By level of harm: 16 potential for harm, 1 minimal harm potential.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 16 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Oct 7, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0692 | Provide enough food/fluids to maintain a resident's health.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record.Administration Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0693 | 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
Show the other 7 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Oct 7, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 7, 2025 | F0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies | B Minimal harm potential, pattern | Standard | Deficient, Provider has date of correction Oct 8, 2025 |
| Oct 3, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 5, 2024 |
| Jun 29, 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 14, 2024 |
| Apr 3, 2024 | F0584 | 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.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 24, 2024 |
| Apr 3, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 24, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home4.74 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.56 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home58.7%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 62 |
|---|---|
| Average residents per day | 37.5 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | None |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | HOLLY HALL |
| First approved for Medicare and Medicaid | Feb 2, 2012 |
| County | Harris |
| CMS certification number | 676306 |
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| Houston Methodist Hospital | Acute Care Hospitals | Yes | |
| Baylor St Lukes Medical Center | Acute Care Hospitals | Yes | |
| Memorial Hermann - Texas Medical Center | Acute Care Hospitals | Yes | |
| Memorial Hermann Memorial City Hospital | Acute Care Hospitals | Yes | |
| Harris Health | Acute Care Hospitals | Yes | |
| Memorial Hermann Hospital System | Acute Care Hospitals | Yes | |
| St Joseph Medical Center | Acute Care Hospitals | Yes | |
| HCA Houston Healthcare Northwest | Acute Care Hospitals | Yes |