Holly Hall

Name: Holly Hall
Address: 2000 Holly Hall St, Houston, TX, 77054, US
Telephone: 7137999031

2000 Holly Hall St, Houston, TX 77054 · Harris County · 62 certified beds · avg 38 residents/day · certified since Feb 2, 2012

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Oct 7, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 7, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 7, 2025	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Oct 7, 2025	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 7, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 7, 2025	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 7, 2025	E · Potential for harm, repeated	The facility did not keep signed and dated reports of x-rays and other diagnostic tests in residents' records.
Oct 7, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Oct 7, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 7, 2025	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Oct 7, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 7, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 7, 2025	B · Minimal risk, repeated	The facility did not dispose of garbage and refuse properly.
Oct 3, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 29, 2024	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Apr 3, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Apr 3, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 8, 2023	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

Year	Citations	Worst severity that year
2023	7	E
2024	4	E
2025	13	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.96	3.46	3.95	top 5% in Texas; top 14% in the U.S.
Registered Nurse hours	0.59	0.44	0.69	top 16% in Texas; top 50% in the U.S.
Weekend total nurse staffing	4.34	3.04	3.50	top 5% in Texas; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.34	0.48	top 22% in Texas; top 43% in the U.S.
Total nursing staff turnover (%)	58.7	55.3	45.8	bottom 36% in Texas; bottom 18% in the U.S.
RN turnover (%)	40.0	54.6	42.9	top 30% in Texas; top 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.74, RN 0.56, weekend 4.15. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Clouse, Autumn	Individual	Corporate Director	NOT APPLICABLE	07/15/2019
Drew, Peter	Individual	Corporate Officer	NOT APPLICABLE	08/01/2022
Drew, Peter	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Holly Hall	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you make sure x-ray and test results make it into the resident's record and get acted on?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Garden Terrace Healthcare Center of Houston	0.7 mi	Houston, TX	★★☆☆☆	1/5
St Dominic Village Rehabilitation and Nursing Cent	1.7 mi	Houston, TX	★☆☆☆☆	2/5	abuse
The Methodist Hospital SNF	1.8 mi	Houston, TX	★★★★★	5/5
Bayou Manor	2.6 mi	Houston, TX	★★★★★	5/5
Avir at Orem	4.3 mi	Houston, TX	★★★★☆	4/5
Paradigm at Westbury	4.6 mi	Houston, TX	★☆☆☆☆	1/5
Brookdale Galleria	5.0 mi	Houston, TX	★★★☆☆	2/5
Harmony Care at Golfcrest	5.2 mi	Houston, TX	★☆☆☆☆	1/5
The Hallmark	5.6 mi	Houston, TX	★★★★★	5/5
Terra Bella Health and Wellness Suites	5.7 mi	Houston, TX	★★☆☆☆	1/5	SFF
Seven Acres Jewish Senior Care Services	5.8 mi	Houston, TX	★★★★☆	3/5
Afton Oaks Nursing and Rehabilitation Center	6.5 mi	Houston, TX	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 676306.

The Care File

Visit checklist — Holly Hall

2000 Holly Hall St, Houston, TX 77054 · 7137999031

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you make sure x-ray and test results make it into the resident's record and get acted on?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676306 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)