Holly Hall
Certified for Medicare and Medicaid since 2012-02-02, Holly Hall is a 62-bed nursing home in Houston, Texas, averaging 37.5 residents a day.
Has Holly Hall been cited for violations?
CMS lists 24 health-inspection deficiencies for Holly Hall since 2023-06-08, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-10-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-10-07 | F0550, F0677, F0690, F0692, F0759, F0760, F0779 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | E |
| 2025-10-07 | F0693, F0761, F0770, F0812, F0880 | 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. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-10-07 | F0814 | Dispose of garbage and refuse properly. | B |
| 2024-10-03 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-06-29 | 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. | D |
| 2024-04-03 | F0584, F0677 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2023-06-08 | F0552, F0655, F0758, F0812 | Ensure that residents are fully informed and understand their health status, care and treatments. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-06-08 | F0640, F0695, F0755 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
How is Holly Hall staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.74423 | 3.38539 |
| Total nursing staff turnover (%) | 58.7 | 55.3 |
| Average number of residents per day | 37.5 | 75.8 |
Who owns Holly Hall?
Holly Hall is registered with CMS as For profit - Limited Liability company, operates under the legal business name HOLLY HALL.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | CLOUSE, AUTUMN | since 07/15/2019 |
| CORPORATE OFFICER | DREW, PETER | since 08/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | HOLLY HALL, DREW, PETER | since 07/01/2018 |