Holly Hall is an average performer in CMS ratings, earning a C grade with a score of 63/100. Located in Houston, Texas, the facility meets baseline standards across most quality metrics.
Holly Hall provides above-average staffing with 4.53 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 24 deficiencies at Holly Hall. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.53 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.38 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.61 | 2.4 | Average |
| Weekend Total Nursing | 3.84 | 3.8 | Average |
| Weekend RN Hours | 0.38 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Oct 6, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Oct 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventOct 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0692 Severity EProvide enough food/fluids to maintain a resident's health.Oct 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Oct 6, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.9% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| Urinary tract infections | 1.8% | 2.5% | Better |
| ADL decline (daily activities) | 20.9% | 14.0% | Worse |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 25.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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