Elder Care Record

Texas › Harris County › Houston

Holly Hall

2000 Holly Hall St, Houston, TX 77054

CCN 676306 · For-profit, limited liability company · 62 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Holly Hall is a For-profit, limited liability company nursing home in Houston, Texas, certified for 62 beds and caring for about 38 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 4 and quality measures 4.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (13, 1, 10 by cycle, most recent first), none at the actual-harm level. That is 38.7 per 100 beds, more than the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.7 hours per resident per day (0.6 RN), above the Texas median of 3.3; nursing staff turnover is 58.7%.

24health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.7nurse hours per resident per daystate median 3.3
60%occupancy (residents ÷ beds)38 residents a day

Compared with county, state and nation

MeasureThis facilityHarris Co. medianTexas medianUS average
Overall star rating3233.0
Health citations, 3 cycles24222528.7
Citations per 100 beds38.719.022.526.8
Total nurse hours per resident day4.73.33.33.9
RN hours per resident day0.60.40.40.7
Nursing staff turnover58.7%52.1%52.1%45.8%
Fines listed$0$30,361$16,801—

County and state figures are medians across facilities (97 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 21
Cycle 310

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Oct 2025, 29 Aug 2024.

Severity mix: D ×10 E ×13 B ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
7 Oct 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey8 Oct 2025
7 Oct 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey8 Oct 2025
7 Oct 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey8 Oct 2025
7 Oct 2025F0692Provide enough food/fluids to maintain a resident's health.EStandard survey8 Oct 2025
7 Oct 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey8 Oct 2025
7 Oct 2025F0760Ensure that residents are free from significant medication errors.EStandard survey8 Oct 2025
7 Oct 2025F0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.EStandard survey8 Oct 2025
7 Oct 2025F0693Ensure 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.DStandard survey8 Oct 2025
7 Oct 2025F0761Ensure 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.DStandard survey8 Oct 2025
7 Oct 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey8 Oct 2025
7 Oct 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey8 Oct 2025
7 Oct 2025F0880Provide and implement an infection prevention and control program.DStandard survey8 Oct 2025
7 Oct 2025F0814Dispose of garbage and refuse properly.BStandard survey8 Oct 2025
3 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation5 Nov 2024
29 Jun 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint investigation14 Aug 2024
3 Apr 2024F0584Honor 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.EComplaint investigation24 Apr 2024
3 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation24 Apr 2024
8 Jun 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey28 Jul 2023
8 Jun 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey28 Jul 2023
8 Jun 2023F0758Implement 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.EStandard survey28 Jul 2023
8 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey28 Jul 2023
8 Jun 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey28 Jul 2023
8 Jun 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Jul 2023
8 Jun 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Jul 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.74 h
Nurse aides2.73 h
LPN1.45 h
RN0.56 h
Weekend total4.15 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.7%, RNs 40.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.1%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.6%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.7%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay11.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay0.0%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Holly Hall.

OrganisationRole in the CMS recordInterestSince
Holly HallOperational/managerial controlNOT APPLICABLE07/01/2018

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Harris County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bayou ManorHouston37555718.9—19 May 2026
Clarewood House Extended Care CenterHouston6055158.3—3 Dec 2025
East View HealthcareHouston125551118.8—24 Feb 2026
Hca Houston Healthcare SoutheastPasadena30554516.7—15 May 2025
Ignite Medical Resort Webster, LLCWebster705521217.1—24 Apr 2026
Park Manor of CyfairHouston12055286.7—1 May 2026
Parkway PlaceHouston425351842.9$46K22 Apr 2026
Richard A. Anderson (State of Texas Veterans LandHouston1205451411.7$15K11 Sep 2025

All 97 facilities in Harris County

Questions and answers

How many deficiencies has Holly Hall been cited for?

24 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Holly Hall been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Holly Hall compare?

Reported total nurse staffing is 4.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Holly Hall?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Holly Hall. Individual owners and managers are not listed on this site.

When was Holly Hall last inspected?

The most recent survey or investigation in the CMS record is dated 7 Oct 2025; the most recent standard health survey was 7 Oct 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.