Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greene Acres Nursing Home during CMS and state inspections, most recent first.
The facility failed to complete a thorough Facility Assessment that addressed staffing needs for day/evening/night coverage and emergencies, required staff skill sets, education, competencies, recruitment and retention, and facility/community risk factors. The assessment was based on MDS-generated data and did not include active involvement from the DON, direct care staff, residents, or resident representatives. Interviews confirmed there was no staffing information, competency remained in progress, recruitment was not considered, emergency preparedness was not addressed, and the facility had no policy for Facility Assessment.
The facility failed to properly label and store food items and did not adhere to hand hygiene protocols, leading to potential cross-contamination. Observations revealed unlabeled and improperly sealed food items, and staff were seen handling food without performing hand hygiene between tasks. The facility lacked specific policies for hand hygiene and food storage.
A resident with COPD and major depressive disorder was observed smoking unsupervised without a required smoking apron, despite care plan instructions. The resident also kept smoking paraphernalia in their room, contrary to facility policy. Staff interviews revealed inconsistencies in enforcing the care plan, highlighting a failure to implement necessary safety interventions.
A facility failed to ensure proper hand hygiene and infection control during incontinent care for a resident. CNAs did not perform hand hygiene before applying gloves and placed soiled wipes on clean ones, risking cross-contamination. The IC Nurse and DON acknowledged these practices were not in line with protocols, and the facility lacked a specific hand hygiene policy.
A facility failed to ensure a resident with vascular dementia had access to a call light, as it was repeatedly found out of reach. Staff acknowledged the oversight, and the Administrator confirmed the absence of a policy for call light accessibility.
Facility Assessment Missing Staffing, Competency, and Emergency Risk Elements
Penalty
Summary
The facility failed to conduct a thorough facility-wide assessment to determine the resources necessary to care for residents competently during day-to-day operations and emergencies. The undated Facility Assessment reviewed on 01/05/2026 consisted of a spreadsheet generated from MDS resident information, including admission and discharge data, diagnoses, ADL assistance levels, and medications/services needed to treat those diagnoses, with instructions below each section on how to use the data when developing the assessment. However, the assessment did not address staffing needs for day/evening/night coverage or emergencies, the certified or licensed staff and skill sets needed, staff education, training, and competencies, or a recruitment and retention plan. The Facility Assessment also did not include a facility-based or community-based risk assessment, including potential natural disasters, and did not show active involvement of the DON, direct care staff, residents, or resident representatives. During interviews, the DON stated the Medicare Director gathered the information and the Administrator completed the assessment. The Medicare Director stated the facility used a third-party system that uploaded MDS information to generate numbers and that there was no staffing information for shifts or nursing staff type, only generated data. The Administrator stated the assessment should be individualized to the facility, but acknowledged there was no staffing information, competency remained "in progress," recruitment was not considered, emergency preparedness was not addressed, and bedside staff or resident involvement was not included. The Administrator also stated the facility did not have a policy for Facility Assessment.
Deficiencies in Food Storage and Hand Hygiene Practices
Penalty
Summary
The facility failed to ensure proper labeling and storage of food items, as well as adherence to hand hygiene protocols in the kitchen, leading to potential cross-contamination. During an observation of the walk-in refrigerator, it was noted that two cardboard boxes containing strawberry shortcake and several bags of lettuce were not labeled with dates. Additionally, the lettuce in an open bag was turning brown with liquid at the bottom. Other items, such as cream cheese, pasta, and various gravies, were also found without proper sealing or labeling. The Dietary Manager confirmed these findings, indicating a lack of compliance with food storage standards. Furthermore, the facility did not maintain proper hand hygiene practices. A Dietary Aide was observed handling food items and cleaning surfaces without performing hand hygiene between tasks. Similarly, the Dietary Manager failed to perform hand hygiene between changing gloves while preparing pureed potato salad. Both staff members acknowledged the importance of hand hygiene to prevent cross-contamination, yet the facility lacked specific hand hygiene and food storage policies, relying instead on general Medicaid/Medicare guidelines.
Failure to Implement Smoking Safety Interventions
Penalty
Summary
The facility failed to implement necessary safety interventions for a resident with chronic obstructive pulmonary disease (COPD) and major depressive disorder, who was assessed as cognitively intact. The resident was deemed safe to smoke without supervision but required a smoking apron. Despite this, the resident was observed smoking unsupervised without a smoking apron on multiple occasions. Additionally, the resident had cigarettes and a lighter in their possession, contrary to the care plan which stated these items should be stored in the medication room. Interviews with facility staff, including a Certified Nursing Assistant (CNA) and a Registered Nurse (RN), revealed inconsistencies in the enforcement of the resident's care plan. The CNA confirmed that the resident kept smoking paraphernalia in their room and did not always use the required smoking apron. The Director of Nursing (DON) acknowledged that the resident should have been using a smoking apron and that smoking supplies should not have been kept in the resident's room, as per the smoking assessment and care plan. The facility's policy required assessments and care plans to address smoking procedures and restrictions, which were not adequately followed in this case.
Inadequate Hand Hygiene and Infection Control During Incontinent Care
Penalty
Summary
The facility failed to ensure proper hand hygiene and infection control practices during incontinent care for a resident. On the specified date, two CNAs were observed assisting a resident from a wheelchair into bed and performing incontinent care without performing hand hygiene before putting on gloves. During the care, one CNA handed a soiled perineal wipe to the other CNA for disposal without changing gloves, and then touched the resident with the same gloves. Additionally, the CNA placed soiled wipes on top of clean wipes, which is a cross-contamination risk. Both CNAs acknowledged the improper practices when questioned by the surveyor. The Infection Control Nurse and the Director of Nursing confirmed that the observed practices were not in line with infection control protocols, which require hand hygiene before and after glove use and proper disposal of soiled materials. The facility lacked a specific hand hygiene policy, although the Infection Control Book and new employee orientation materials indicated the importance of hand hygiene before and after resident contact. The deficiency was identified through observation, interviews, and review of facility policies.
Failure to Ensure Call Light Accessibility for Resident
Penalty
Summary
The facility failed to ensure the accommodation of needs for a resident diagnosed with vascular dementia, who was moderately cognitively impaired. On multiple occasions, the resident's call light was observed to be out of reach. On the first occasion, the call light was at the top of the bed behind the curtain, and a Registered Nurse confirmed it should be within the resident's reach. On a subsequent observation, the call light was on another bed, again out of reach, and a Certified Nursing Assistant acknowledged it should be accessible and placed it next to the resident's hand. The facility's Administrator confirmed that there was no policy and procedure in place for call lights, indicating a lack of formal guidance on ensuring call lights are within reach for residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 36 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Paragould
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Green House Cottages Of Belle Meade | 2 mi | ★★★★★ | 0 | 0 |
| Monette Manor, Llc | 14.8 mi | ★★★★★ | 11 | 0 |
| Ridgecrest Health And Rehabilitation | 15.6 mi | ★★★★★ | 3 | 0 |
| Lakeside Health And Rehab | 17.9 mi | ★★★★★ | 5 | 0 |
| Rector Nursing And Rehab | 18.1 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Greene Acres Nursing Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.