Above average — CMS composite of the measures below.
A standard survey is most likely before 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 The Green House Cottages Of Northwest Arkansas during CMS and state inspections, most recent first.
Improper Food Storage and Dating in Kitchen: Food items were found stored without required labels or dates, including protein bars placed on top of dishes, jelly stored with utensils and office items, and dry storage items such as vinegar, sauce packets, and coffee containers that were out of date or missing open/use-by dates. Staff stated some items should not have been stored as found, and one CNA was unsure what food dating indicated.
The facility failed to ensure proper storage, preparation, and handling of food items, leading to multiple deficiencies. Observations revealed unsealed and uncovered food items, expired food not discarded, and unsanitary ice machines and scoop holders. Staff also failed to wash their hands between dirty and clean tasks, risking contamination of food and equipment.
The facility failed to ensure that pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets. Observations revealed that pureed chicken, cauliflower, peas, cookies, corn dogs, and squash were lumpy and contained visible pieces of food. The Dietary Supervisor confirmed the inadequacy of the pureed food items.
The facility failed to implement proper hand hygiene and barrier precautions during incontinence care for a resident with severe cognitive impairment. Two CNAs did not change gloves or perform hand hygiene after handling contaminated items, and they washed their hands in the kitchen sink instead of using the resident's bathroom sink or alcohol gel. The DON confirmed that the staff did not follow the facility's hand hygiene policy.
The facility failed to maintain an effective pest control program, resulting in multiple observations of flies in the kitchen areas. Staff acknowledged the issue and mentioned efforts to shoo away or kill the flies, but the problem persisted. The practice of propping open the back door allowed flies to enter, and despite contacting pest control services, timely assistance was not received.
The facility failed to ensure that the narcotic box in the refrigerator was permanently affixed, as required by policy. An LPN confirmed that the box was behind two locked doors and that the nurse on duty had the key.
Improper Food Storage and Dating in Kitchen
Penalty
Summary
The facility failed to ensure food was stored properly and that dishes and utensils were maintained in a clean condition and in good repair in the kitchen serving [NAME] House. During observation, two boxes of [Brand Name] peanut butter and dark chocolate protein bars were found in an upper cabinet above the handwashing sink, sitting on top of stacked green plates, and neither box was labeled with a resident name, room number, or the date the items were brought into the facility. CNA #1 stated the boxes should not have been stored on the dishes and removed them to the trash because no resident name was on them. In another observation, a drawer next to the beverage cooler contained sugar free jelly stored with dry erase markers, a thermometer, labels, masking tape, cookie cutters, a rolling pin, and tongs; CNA #1 stated the jelly should not have been stored there and moved it to another cabinet, leaving the utensils in the drawer. The dry storage area also contained a 1-gallon jug of classic red wine vinegar with dried residue on the outside and no open date, a clear plastic bag of sauce packets dated 05/07/2025 with a use by date of 08/25/2025, and two coffee containers with received dates in 2023 and manufacturer expiration dates in 2024. The Dietary Manager stated the vinegar should have had an open date and the sauce packets should have been discarded as out of date. CNA #2 was unsure what dating on food items indicated or why use by dating was not filled in on clear plastic zip bags containing food items.
Food Storage and Handling Deficiencies
Penalty
Summary
The facility failed to ensure proper storage, preparation, and handling of food items, leading to multiple deficiencies. Observations revealed that food items in the freezer and refrigerator were not sealed or covered, and expired food items were not promptly removed or discarded. Additionally, some food items were not dated upon receipt, which is necessary to ensure first-in, first-out usage. These practices increase the risk of foodborne illness among residents. Furthermore, ice machines and ice scoop holders were found to be in unsanitary conditions, with visible residues that could contaminate beverages served to residents. Staff also failed to wash their hands between dirty and clean tasks, further risking contamination of food items and equipment used in meal preparation and service. In House #1, an opened plastic bag of shredded cheese was found unsealed in the refrigerator, and pitchers containing lemonade and sweetened tea were left uncovered, exposing them to potential cross-contamination. A dented can of strawberry topping was stored with undented cans, and an opened box of sausage was left uncovered in the freezer. The ice machine had wet brown residue, and the ice scoop holder had black/tannish residue, both of which were easily transferable to a paper towel. Similar issues were observed in House #2, where a pitcher of sweet tea was left uncovered in the refrigerator, and an opened bottle of soy sauce was not refrigerated as required. Additionally, hot food items were not maintained at the required temperature of above 135 degrees Fahrenheit. In House #3, staff failed to wash their hands after handling dirty equipment and before handling clean equipment or food items. This included instances where CNAs touched dirty objects and then handled glasses, plates, and food without washing their hands. Similar hand hygiene issues were observed in House #4 and House #5, where staff contaminated gloves and food items by not washing their hands between tasks. Additionally, various food items in the refrigerators, freezers, and storage rooms were found unsealed or uncovered, further increasing the risk of contamination and foodborne illness among residents.
Failure to Ensure Proper Consistency of Pureed Food
Penalty
Summary
The facility failed to ensure that pureed food items were blended to a smooth, lump-free consistency for residents who required pureed diets. During observations, it was noted that pureed breaded baked chicken, cauliflower with red pepper, English peas, and chocolate chip cookies served to residents were lumpy and contained visible pieces of food. The Dietary Supervisor confirmed that the pureed food items were not smooth and contained chunks and lumps, which is not suitable for residents on a pureed diet. Additionally, a Certified Nursing Assistant (CNA) was observed preparing pureed corn dogs and squash, which also did not meet the required smooth consistency. The pureed corn dogs were lumpy, and the pureed squash contained pieces of squash. The Dietary Supervisor again confirmed that the pureed food items prepared by the CNA were not smooth and contained chunks and lumps. This failure to properly puree food items had the potential to affect residents who required pureed diets, increasing the risk of choking or other complications.
Failure to Implement Proper Hand Hygiene and Barrier Precautions
Penalty
Summary
The facility failed to implement enhanced barrier precautions and proper hand hygiene during incontinence care for two residents. Resident #34, who has severe cognitive impairment and is frequently incontinent, was observed receiving incontinence care from two CNAs. CNA #19 did not change gloves or perform hand hygiene after cleaning the resident's perineal area and handling contaminated items. This included using the same contaminated gloves to operate the bed remote, handle clean briefs, and apply barrier cream. CNA #19 only changed gloves once during the entire process and did not perform hand hygiene at any point. Additionally, CNA #18 and CNA #19 were observed washing their hands in the kitchen sink instead of using the resident's bathroom sink or alcohol gel between glove changes. Interviews with the CNAs and the DON revealed that the staff were aware of the proper hand hygiene protocols but failed to follow them. The facility's hand hygiene policy, which requires hand hygiene before and after glove use and when moving from contaminated to clean tasks, was not adhered to. The DON confirmed that the staff should have changed gloves and performed hand hygiene to prevent the spread of infection. The facility's policy on hand hygiene was reviewed, and it was found that the staff did not comply with the established procedures. The Infection Control Preventionist was unavailable for an interview, but the DON acknowledged the lapses in following the infection control protocols.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in multiple observations of flies in the kitchen areas of [NAME] House #3 and [NAME] House #4. On several occasions, flies were observed on various surfaces, including counters, sinks, cabinets, and food preparation areas. Specific instances included flies on the handle of a saucepan, a pot containing gravy, and a spoon on the counter. Staff members, including CNAs and the Dietary Supervisor, acknowledged the presence of flies and mentioned efforts to shoo them away or kill them, but the problem persisted. The issue was exacerbated by the practice of propping open the back door, which allowed flies to enter the kitchen. Despite contacting pest control services, the facility had not received timely assistance to address the infestation. The Dietary Supervisor confirmed that the pest control service had been called but had not yet arrived, leaving the facility with an ongoing pest problem that had the potential to affect residents' health and safety.
Failure to Affix Narcotic Box in Refrigerator
Penalty
Summary
The facility failed to ensure that the separately locked compartment for controlled drugs was permanently affixed within the refrigerator in [NAME] Cottage. During an observation of medication storage, a surveyor noted that the narcotic box in the refrigerator was not permanently affixed. When questioned, an LPN confirmed that the narcotic box was behind two locked doors and that the nurse on duty had the key. The facility's policy indicated that controlled substances requiring refrigeration should be stored within a locked box that is attached to the inside of the refrigerator.
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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.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bradford House Nursing And Rehab, Llc | 1.7 mi | ★★★★★ | 0 | 0 |
| Ashley Rehabilitation And Health Care Center | 3 mi | — | 17 | 0 |
| Promenade Health And Rehabilitation | 3.7 mi | ★★★★★ | 5 | 0 |
| Innisfree Health And Rehab, Llc | 4 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Rogers Rehab & Nursing Center | 4.9 mi | ★★★★★ | 3 | 0 |
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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.