Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Poplar Grove during CMS and state inspections, most recent first.
A resident with a history of falls and multiple chronic conditions did not receive care-planned fall interventions, such as a fall mat and visual signage, which were absent from the room during surveyor observations and confirmed missing by both an LPN and the DON. Additionally, the facility failed to consistently notify the resident's guardian when the resident refused ordered medications multiple times, despite the guardian's explicit request and facility policy requiring such notification.
A facility failed to properly use a mechanical lift for a resident with multiple health issues, locking the rear casters against manufacturer instructions, creating a potential hazard. Additionally, an unsecured oxygen tank was left in a bathroom of a resident who did not use oxygen, despite requests for its removal, posing a safety risk. The facility's policies on lift usage and oxygen storage were not followed.
The facility failed to properly store medications in Building 1, where loose pills were found in a medication cart, and in Building 4, where the narcotic refrigerator lacked a thermometer for temperature monitoring. An LPN and the DON acknowledged the importance of storing medications in their original containers and maintaining appropriate temperatures, but no temperature log was kept.
A facility failed to include pain management in a resident's care plan despite the resident's diagnosis of cancer and frequent complaints of back pain. The resident was on scheduled pain medication, and the MDS assessment indicated occasional pain affecting sleep. Interviews with staff confirmed the oversight, and the care plan did not reflect necessary interventions.
A resident with multiple health conditions was observed receiving oxygen at a lower flow rate than ordered by the physician. The discrepancy was noted over several days, and an LPN adjusted the flow rate upon observation. The facility's policy did not address verification of oxygen therapy orders.
The facility failed to remove expired food items and ensure proper dating of stored food. An unsealed package of hot dogs was found in the refrigerator past its use period, and two frozen apple pies lacked received dates. The Dietary Manager acknowledged these oversights, and facility policies did not cover handling of opened prepackaged meat items.
A facility failed to ensure proper hand hygiene during peri care, leading to potential cross-contamination. A resident requiring total assistance for toileting was observed being cared for by staff who did not perform hand hygiene after removing a wet brief and using wipes. The Director of Nursing confirmed the expectation for hand hygiene to prevent cross-contamination, which was not followed by the staff involved.
A resident with hepatic failure, cirrhosis of the liver, and heart failure had a cluttered bathroom with two wheelchairs, a shower chair, and other items, making it inaccessible. The resident expressed a desire to use the bathroom but stated it was too cluttered. A CNA confirmed the resident's needs and the administrator acknowledged the issue, stating the bathroom should have been cleaned.
Failure to Implement Fall Interventions and Notify Guardian of Medication Refusals
Penalty
Summary
Surveyors identified that the facility failed to implement care-planned fall interventions for a resident at risk for falls. The resident had a documented history of falls, with interventions such as a fall mat and 'Call Don't Fall' signage ordered and care planned after previous incidents. However, during multiple observations, neither the fall mat nor the signage was present in the resident's room. Both the LPN and the Director of Nursing confirmed the absence of these interventions during interviews, despite facility policy requiring their implementation and staff in-servicing. Additionally, the facility did not consistently notify the resident's court-appointed guardian when the resident refused ordered medications more than two times in a row, as specifically requested by the guardian. The resident, who was cognitively intact but adjudged incapacitated and had a guardian, refused a significant number of doses of multiple critical medications over several months, including those for diabetes, hypertension, depression, and nerve pain. Facility policy required notification of the guardian and assessment of reasons for refusal, but documentation did not show consistent guardian notification or assessment of refusal causes such as dry mouth or swallowing difficulty. Interviews with the APRN, DON, and Administrator confirmed that the expectation was for the guardian to be notified with each medication refusal, especially after the guardian's explicit request. However, the DON was unable to provide documentation that this occurred, and the guardian reported only being notified on two occasions despite frequent refusals. The lack of consistent implementation of fall interventions and failure to notify the guardian of medication refusals as required by policy and the guardian's request led to the identified deficiencies.
Improper Use of Mechanical Lift and Unsecured Oxygen Tank
Penalty
Summary
The facility failed to ensure the proper use of a mechanical lift, which resulted in a potential hazard for Resident #270. The resident, who was diagnosed with subdural hemorrhage, respiratory failure, and type II diabetes, required total assistance for certain activities. During an observation, a staff member was seen locking the rear casters of the mechanical lift while lifting and lowering the resident, contrary to the manufacturer's instructions. The facility's in-service training did not address the correct use of the rear casters, and both the staff and the Director of Nursing were unaware of the proper procedure, which was to keep the casters unlocked to prevent tipping. Additionally, the facility failed to maintain a safe environment for Resident #48 by leaving an unsecured oxygen tank in the resident's bathroom. The resident, who did not use oxygen, had repeatedly requested the removal of the tank, which was not addressed by the staff. The presence of the unsecured tank posed a potential hazard, as it could fall and cause a combustion. The facility's policy required oxygen cylinders to be stored in a designated ventilated area, but this was not followed, as confirmed by the Director of Nursing and the Assistant Director of Nursing/Infection Preventionist.
Medication Storage and Temperature Monitoring Deficiencies
Penalty
Summary
The facility failed to ensure proper storage of medications in Building 1 and Building 4, leading to potential medication errors. In Building 1, two loose, round, tan pills and pill residue were found inside the top drawer of a medication cart. An LPN identified the pills as a supplement and intended to waste them, acknowledging that it was inappropriate to store loose pills. The Director of Nursing (DON) confirmed that medications should be stored in their original containers to prevent administration errors and stated that nursing staff were educated daily on proper medication storage. In Building 4, the facility failed to monitor the temperature of the narcotic refrigerator, as there was no thermometer present. An LPN was unable to confirm the refrigerator's temperature, which is crucial for storing medications like Ozempic and Lorazepam at the required 36-46 degrees Fahrenheit. The DON stated that nurses were responsible for checking the refrigerator temperature nightly, but no temperature log was maintained. The absence of a thermometer was attributed to maintenance defrosting the refrigerator and possibly forgetting to replace it. The facility's policy required monthly checks of medication storage areas for proper storage, labeling, and temperature control.
Failure to Address Pain Management in Care Plan
Penalty
Summary
The facility failed to ensure that a comprehensive care plan addressed pain management for a resident diagnosed with cancer, inability to use legs, and type II diabetes. The resident was cognitively intact, as indicated by a BIMS score of 15, and was on scheduled pain medication. The Minimum Data Set (MDS) assessment revealed that the resident experienced occasional pain, which sometimes affected their sleep. Despite physician orders for regular pain evaluations and scheduled pain medications, including an opioid pain patch, the care plan did not reflect these interventions. Interviews with facility staff, including Shahbaz #8 and MDS Nurse #2, confirmed that the resident frequently complained of back pain due to spinal cancer. MDS Nurse #2 acknowledged that the care plan should have included pain management interventions, as the MDS assessment indicated the need for such measures. However, the pain management was not documented in the care plan, and MDS Nurse #2 could not find documentation in the RAI manual to explain the oversight. The failure to transfer information from the MDS to the care plan resulted in the deficiency.
Oxygen Flow Rate Not Administered as Ordered
Penalty
Summary
The facility failed to ensure that oxygen was administered at the flow rate ordered by the physician for a resident with chronic obstructive pulmonary disease, stroke, dementia, and functional quadriplegia. The resident was observed receiving oxygen at a flow rate of 1.5 liters per minute via nasal cannula, despite the physician's order specifying 2-3 liters per minute as needed for shortness of breath or when oxygen levels were below 90%. This discrepancy was noted on multiple occasions over several days. Licensed Practical Nurse (LPN) #1 acknowledged the incorrect flow rate and adjusted it to the correct 2 liters per minute upon observation. The LPN stated that the flow rate should have been checked earlier and attributed the incorrect setting to a possible accidental adjustment during a tubing change. The Director of Nurses (DON) confirmed that continuous oxygen orders should be checked every shift, but the facility's policy on verifying oxygen therapy orders did not address this requirement.
Expired Food and Undated Items Found in Facility
Penalty
Summary
The facility failed to ensure that expired food items were promptly removed or discarded on or before their expiration or use-by date, which is necessary to prevent the growth of bacteria. During an observation, a clear, unsealed package of hot dogs was found in the refrigerator of Cottage 6, dated beyond the recommended use period. The Dietary Manager acknowledged that the hot dogs should have been used or removed within seven days of opening to prevent potential illness. Additionally, in Building 1 (Dogwood), two frozen apple pies were observed without received dates, which is against the facility's protocol for tracking when items should be discarded. The Dietary Manager confirmed that frozen pies should have a received date for proper inventory management. The facility's policies titled 'Storage of Food and Beverages Brought by Visitors' and 'Food and Nutrition Services' were reviewed, and it was noted that neither policy addressed the handling of opened prepackaged meat items, indicating a gap in the facility's food storage and safety procedures.
Failure in Hand Hygiene During Peri Care
Penalty
Summary
The facility failed to ensure proper hand hygiene during peri care, leading to potential cross-contamination and infection spread. This deficiency was observed during the care of a resident with a history of subdural hemorrhage, respiratory failure, and type II diabetes, who required total assistance for toileting. During an observation, a staff member removed the resident's wet brief and used wipes without performing hand hygiene. The resident urinated on clean wipes, which were then used to clean the perineal area multiple times before the staff member changed gloves. Another staff member also failed to perform hand hygiene while assisting with the resident's care. Interviews with the staff confirmed the lack of hand hygiene during the incontinence care process. The Director of Nursing stated that staff are expected to perform hand hygiene when transitioning from dirty to clean tasks to prevent cross-contamination. A review of the facility's in-service training on peri care indicated that staff should change gloves when soiled and use a clean wipe for each swipe from front to back. The failure to adhere to these procedures was acknowledged by the staff involved, highlighting a concern for cross-contamination.
Failure to Maintain an Orderly and Uncluttered Environment
Penalty
Summary
The facility failed to maintain an orderly and uncluttered environment for a resident diagnosed with hepatic failure, cirrhosis of the liver, and heart failure. The resident, who was cognitively intact with a BIMS score of 13, had a bathroom cluttered with two wheelchairs, a shower chair, clothing, blankets, a raised toilet seat extender with a bath basin draining into the toilet, and several wet washcloths drying on the sink. The resident expressed a desire to get out of bed, shower, and wear their own clothes but stated that the bathroom was too cluttered to use. The resident also mentioned that one of the wheelchairs in the bathroom did not belong to them and had requested the facility to remove the clutter, but the issue remained unresolved. A Certified Nursing Assistant (CNA) confirmed that the resident could communicate their needs and used the call light for assistance. The CNA stated that the resident only wanted bed baths because the bathroom had too much equipment, making it inaccessible. The facility's administrator acknowledged the clutter issue and mentioned that the resident had refused to get out of bed according to staff reports. However, the administrator agreed that the bathroom should have been cleaned and uncluttered. The facility's policy on housekeeping and maintenance indicated that rooms should be cleaned and put in order daily, with regular observations to ensure a clean and orderly environment.
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Illustrative
What surveyors actually found near you
We read the 106 citations issued within 25 miles in the last 12 months — including the 2 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Little Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Blossoms At Woodland Hills Rehab & Nursing Cen | 0.3 mi | ★★★★★ | 2 | 1 |
| The Springs Of Barrow | 1 mi | ★★★★★ | 4 | 0 |
| Briarwood Nursing And Rehabilitation Center,inc | 1.1 mi | ★★★★★ | 0 | 0 |
| Presbyterian Village, Inc | 1.3 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Breckenridge Rehab & Nursing Cente | 1.4 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.