Holly Hall - Houston Nursing Home
General Information
UPDATEFederal Provider Number
676306
Provider Name
HOLLY HALL
Provider Address
2000 HOLLY HALL ST
HOUSTON, TX 77054
HOUSTON, TX 77054
Provider Phone Number
7137999031
Provider SSA County
610
Provider County Name
Harris
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLLY HALL
Date First Approved to Provide Medicare and Medicaid services
2012-02-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72558
Reported LPN Staffing Hours per Resident per Day
1.06512
Reported RN Staffing Hours per Resident per Day
0.54651
Reported Licensed Staffing Hours per Resident per Day
1.61163
Reported Total Nurse Staffing Hours per Resident per Day
4.33721
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01163
Expected CNA Staffing Hours per Resident per Day
2.52677
Expected LPN Staffing Hours per Resident per Day
0.58342
Expected RN Staffing Hours per Resident per Day
0.96040
Expected Total Nurse Staffing Hours per Resident per Day
4.07059
Adjusted CNA Staffing Hours per Resident per Day
2.64676
Adjusted LPN Staffing Hours per Resident per Day
1.51528
Adjusted RN Staffing Hours per Resident per Day
0.42519
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29492
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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