CONTACT INFORMATION REVIEWS & MORE DATA
Holly Hall
- Date Updated: March 01, 2025
- CMS Overall 5-Star Rating:
-
Address: 2000 HOLLY HALL ST
HOUSTON TX 77054 Map - Phone: 713-799-9031
- Website: Click Here
- Medicare Provider Number: 676306
- Participating in Medicare Since: February 02, 2012
- No. of Certified Beds: 62
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $994.10
- Complaints Filed: 18
- Accepts: Medicare and Medicaid
About Holly Hall
Holly Hall, located in HOUSTON, TX, is a non-profit organization that accepts Medicare and Medicaid. It is part of a continuing care retirement community. It is not located in a hospital. Holly Hall offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Holly Hall is ranked #13 out of 35 facilities within a 10 mile radius and #31 out of 114 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (4 out of 5):
- Current Trend: Improving
-
Total Nursing Hours Spent Per Resident Per Day: 4.02
(The national average is 3.85 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 28.98% .
- There is no indication of abuse occuring at Holly Hall. (CMS flags facilities where abuse has either happened or is very likely.)
Holly Hall Owner & Operator Information
Business Entity Name:
HOLLY HALL
Owners:
Managers and Directors:
- AUTUMN CLOUSE (MANAGING EMPLOYEE)
- PETER DREW (OPERATIONAL/MANAGERIAL CONTROL)
- PETER DREW (CORPORATE OFFICER)
- PETER DREW (MANAGING EMPLOYEE)
- HOLLY HALL (OPERATIONAL/MANAGERIAL CONTROL)
Holly Hall Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 4: |
| Health Inspection Rating | 4: |
| Quality Rating | 3: |
| Staffing Rating | 4: |
Inspection Scores
| Cycle 1 Score (as of August 29, 2024) | 20 |
| Cycle 2 Score (as of June 08, 2023) | 44 |
| Cycle 3 Score (as of April 28, 2022) | 52 |
| Weighted All Cycles Score | 33 |
Complaints by Residents
This table shows complaints filed by residents in Holly Hall:
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | 08/14/2024 |
| 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. | 04/24/2024 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 04/24/2024 |
| Ensure that residents are fully informed and understand their health status, care and treatments. | 07/28/2023 |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | 07/28/2023 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 07/28/2023 |
| Provide safe and appropriate respiratory care for a resident when needed. | 07/28/2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 07/28/2023 |
| 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. | 07/28/2023 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 07/28/2023 |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | 06/13/2022 |
| Ensure each resident receives an accurate assessment. | 06/13/2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 06/13/2022 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 06/13/2022 |
| Post nurse staffing information every day. | 06/13/2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 06/13/2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 05/16/2022 |
| Perform COVID19 testing on residents and staff. | 03/15/2022 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Holly Hall spends MORE time on average with its residents than the state average for total nursing hours spent per resident and MORE time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.79 | 0.41 / 0.67 |
| Case Mix | 0.64 | 0.63 / 0.66 |
| Adjusted | 0.82 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.03 | 0.97 / 0.87 |
| Case Mix | 0.83 | NA / NA |
| Adjusted | 1.07 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.21 | 1.97 / 2.32 |
| Case Mix | 2.22 | NA / NA |
| Adjusted | 2.30 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.82 | 1.39 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.08 | 0.07 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 4.02 | 3.36 / 3.85 |
| Case Mix | 3.68 | 3.67 / 3.83 |
| Adjusted | 4.18 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison | ||
|---|---|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
29.0%
/
26.2% Worse |
||
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
9.3%
/
12.8% Better |
||
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | ||
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | ||
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | Not Available | ||
| Percentage of long-stay residents who lose too much weight (qm404) |
0.0%
/
4.4% Better |
||
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
9.0%
/
1.0% Worse |
||
| Percentage of long-stay residents with a urinary tract infection (qm407) |
0.0%
/
0.9% Better |
||
| Percentage of long-stay residents who have depressive symptoms (qm408) |
0.0%
/
4.3% Better |
||
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.0% Better |
||
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
0.0%
/
3.3% Better |
||
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
27.8%
/
97.4% Worse |
||
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
0.0%
/
8.3% Better |
||
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
5.5%
/
90.1% Worse |
||
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.3%
/
1.4% Better |
||
| Percentage of long-stay residents whose ability to walk independently worsened (qm451) | Not Available | ||
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
10.7%
/
22.8% Better |
||
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
68.1%
/
97.7% Worse |
||
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
18.8%
/
85.8% Worse |
||
| Percentage of long-stay residents with pressure ulcers (qm479) | 0.0% / NA | ||
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) | 22.9% / NA | ||
Hospitals Near Holly Hall
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Holly Hall.
Holly Hall is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
HOUSTON VA MEDICAL CENTER 2002 HOLCOMBE BLVD. HOUSTON, TX 77030 |
2 |
|
HCA HOUSTON HEALTHCARE WEST 12141 RICHMOND AVE HOUSTON, TX 77082 |
2 |
|
OAKBEND MEDICAL CENTER 1705 JACKSON ST RICHMOND, TX 77469 |
2 |
|
ST JOSEPH MEDICAL CENTER 1401 ST. JOSEPH PARKWAY HOUSTON, TX 77002 |
2 |
|
MEMORIAL HERMANN NORTHEAST HOSPITAL 18951 MEMORIAL NORTH HUMBLE, TX 77338 |
2 |
|
HCA HOUSTON HEALTHCARE CLEAR LAKE 500 MEDICAL CENTER BLVD WEBSTER, TX 77598 |
3 |
|
MEMORIAL HERMANN HOSPITAL SYSTEM 1635 NORTH LOOP WEST HOUSTON, TX 77008 |
3 |
|
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL 921 GESSNER HOUSTON, TX 77024 |
3 |
|
HCA HOUSTON HEALTHCARE PEARLAND 11100 SHADOW CREEK PARKWAY PEARLAND, TX 77584 |
3 |
|
MEMORIAL HERMANN - TEXAS MEDICAL CENTER 6411 FANNIN HOUSTON, TX 77030 |
3 |
|
HCA HOUSTON HEALTHCARE NORTHWEST 710 CYPRESS CREEK PARKWAY HOUSTON, TX 77090 |
3 |
|
MEMORIAL HERMANN SUGAR LAND HOSPITAL 17500 W GRAND PARKWAY SOUTH SUGAR LAND, TX 77479 |
3 |
|
HARRIS HEALTH SYSTEM 2525 HOLLY HALL HOUSTON, TX 77054 |
3 |
|
ST LUKE'S SUGAR LAND HOSPITAL 1317 LAKE POINTE PARKWAY SUGAR LAND, TX 77478 |
3 |
|
WOMANS HOSPITAL OF TEXAS,THE 7600 FANNIN HOUSTON, TX 77054 |
3 |
|
MEMORIAL HERMANN KATY HOSPITAL 23900 KATY FREEWAY KATY, TX 77494 |
4 |
|
ST LUKE'S PATIENTS MEDICAL CENTER 4600 EAST SAM HOUSTON PARKWAY SOUTH PASADENA, TX 77505 |
4 |
|
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE ME 6720 BERTNER AVE, STE MC1-266 HOUSTON, TX 77030 |
4 |
|
HOUSTON METHODIST SUGARLAND HOSPITAL 16655 SOUTHWEST FREEWAY SUGAR LAND, TX 77479 |
4 |
|
HCA HOUSTON HEALTHCARE SOUTHEAST 4000 SPENCER HWY PASADENA, TX 77504 |
4 |
Ratings History for Holly Hall
Medical Professionals Associated with Holly Hall
These are the doctors who are affiliated with Holly Hall. The data is from the most recent period. Historical data is not available.
- KAVITHA RAJAN ( INTERNAL MEDICINE - TRUMEN PHYSICIANS AND ASSOCIATES PLLC )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of March 01, 2025.
Our Analysis
Best and Worst Nursing Homes in HOUSTON, TX
Here is our analysis of the Best Nursing Homes in HOUSTON and Worst Nursing Homes in HOUSTON so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Holly Hall
A list of all of the registered owners for Holly Hall. This includes direct and indirect owners and managers.
Noted Deficiencies for Holly Hall
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Holly Hall
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Purchase a Marketing or Other Report from our Database
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
- Facility Name
- Owner Name
- Mailing Address
- Contact Information
- Phone Numbers
- Website Addresses
- File Formats: .xls, .csv, .txt
- APIs
Reports updated monthly.
