Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Green House Cottages Of Walnut Ridge during CMS and state inspections, most recent first.
Missing TAR Order for Chest Skin Tear: A resident with multiple chronic conditions returned from the hospital with a chest skin tear that was assessed and dressed by an LPN, but the treatment order was never entered on the TAR. The resident’s record showed no chest wound order in the MAR/TAR for two months, and progress notes lacked documentation of the dressing change. Later body audits repeatedly documented the front torso as clear before a subsequent audit noted an open area on the chest with signs of healing. Interviews confirmed staff expected the order to be entered in the TAR so other nurses would know treatment was due.
A resident with a PICC line, IV antibiotics, and an open wound was not properly identified for EBP, and the room lacked the required door signage and PPE supplies when observed. Staff interviews showed they understood EBP should be posted for residents with indwelling devices, but the resident was missing from the facility EBP list and a staff member later transferred the resident without appropriate PPE. An LPN also administered IV antibiotics through the PICC line without donning PPE before the procedure.
The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency, posing a risk to residents on a pureed diet. A CNA prepared chicken and dumplings, green beans, and cornbread, but the textures were too thick or not smooth, with stringy pieces and water separation. The CNA acknowledged the difficulty in pureeing these items and confirmed they would be hard for residents to eat.
The facility failed to ensure proper hand hygiene and equipment sanitation during food preparation, leading to potential contamination. CNAs did not wash their hands thoroughly before handling clean equipment, and the ice machine had a buildup of residue. The ice from this machine was used for residents' beverages and water pitchers.
Missing TAR Order for Chest Skin Tear
Penalty
Summary
The facility failed to provide needed medical services for one resident when a treatment order for a skin tear on the right chest was not entered on the TAR. The resident was admitted with multiple diagnoses including heart failure, muscle weakness, diabetes, protein calorie malnutrition, muscle wasting and atrophy, and reduced mobility. The resident’s care plan identified a skin tear/potential for skin tear of the right chest and right elbow, with interventions to obtain an order if a skin tear occurred and to treat the skin tear as ordered. After the resident returned from the hospital, a re-admission evaluation documented a skin tear to the chest measuring 2.5 cm by 1 cm. LPN #5 stated she and LPN #8 completed a body audit, removed the hospital dressing, assessed a skin tear to the right chest, and applied a dressing using standing orders. LPN #5 also stated she told LPN #8 the order needed to be entered into the TAR, but review of the March and April TARs showed a treatment order for a right forearm skin tear and no treatment order for the chest wound. LPN #5 later confirmed no chest wound orders were present in the electronic record for those months. The resident’s progress notes documented the chest skin tear on return to the facility, but there was no documentation of a treatment or dressing change being completed for the chest wound by LPN #5. Body audits on 03/27, 04/03, 04/10, 04/17, and 04/24 documented the front torso as clear, while a later body audit on 05/03 documented discoloration to the upper front torso and an open area on the right side of the chest with signs of healing. Interviews with CNA #6, the TN, the ADON, the DON, and the Administrator confirmed that orders were to be entered on the TAR and that without an entered order other nurses would not know treatment was needed. The DON also confirmed no orders were placed on the TAR, and the Administrator stated all orders were to be placed in the TAR.
Failure to Identify and Follow EBP for a Resident With a PICC Line
Penalty
Summary
The facility failed to notify staff that a resident with a PICC line was on Enhanced Barrier Precautions (EBP), and staff did not consistently follow EBP when it was required for one resident. Resident #99 was admitted with an open wound to the lower left leg and had moderate cognitive impairment based on the MDS. The resident also received IV medications and antibiotics through IV access, and the care plan and physician orders identified EBP related to the PICC line and IV therapy. During observation, the resident’s room did not have EBP signage or PPE supplies posted on the door or in the hallway outside the room. While the resident was being interviewed, a staff member entered the room, put on gloves, handled the resident’s urinal, and later transferred the resident from bed to wheelchair wearing gloves only and no other PPE. The resident stated they were receiving antibiotics through an IV port for a wound and expected to be discharged after completing the IV antibiotics. Interviews with CNAs, an RN, the DON, the ADON/ICP, the Administrator, and the PA showed that staff understood EBP should be identified by door signage and PPE supplies outside the room, and that EBP applied to residents with indwelling devices such as PICC lines. However, the facility’s EBP list did not include the resident, and the room was not set up for EBP when observed with the Administrator, DON, and ADON/ICP. On a later observation, an LPN administered an IV antibiotic through the resident’s PICC line without putting on PPE before the procedure, even though EBP signage and PPE were then present on the door.
Improper Puree Consistency in Resident Meals
Penalty
Summary
The facility failed to ensure that pureed food items were blended to a smooth, lump-free consistency, which is necessary to minimize the risk of choking or other complications for residents on a pureed diet. During an observation, a CNA used a 6-ounce spoon to place chicken and dumplings into a blender, resulting in a texture that was too thick. Similarly, when pureeing cut green beans, the CNA used a regular spoon, and the resulting mixture was not smooth, with water separating from the vegetables and noticeable pieces of stringy beans present. Additionally, the CNA pureed cornbread with milk, but the texture remained too thick. Upon interview, the CNA acknowledged that the pureed green beans were stringy and difficult to puree, and confirmed that the pureed cornbread and dumplings would be hard for residents on a pureed diet to eat.
Deficiencies in Hand Hygiene and Equipment Sanitation
Penalty
Summary
The facility failed to ensure proper hand hygiene and equipment sanitation during food preparation, leading to potential contamination. On multiple occasions, CNAs did not thoroughly wash their hands before handling clean equipment. For instance, a CNA used a spatula that had been in contact with a dirty coffee pot to scrape pureed strawberry cake into a bowl, contaminating the food. Another CNA sanitized her hands with hand sanitizer instead of washing them with soap and water before handling a spoon to serve food. Additionally, the same CNA did not sanitize the blender parts after washing them with hot water and soap before using them to puree food. The facility also failed to maintain the ice machine in a clean and sanitary condition. The ice machine in the main building had a buildup of wet black residue in the area where ice forms, which was easily transferred to tissue when wiped. The Dietary Manager confirmed the presence of the residue and stated that the ice machine is cleaned once a month by the maintenance man. The ice from this machine is used by kitchen staff to fill beverages for residents and by CNAs for water pitchers in residents' rooms. The facility's handwashing policy, provided by the Dietary Manager, indicated that hands should be washed upon entering the kitchen and after activities that contaminate the hands, but this was not adhered to by the staff.
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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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Nursing homes near Walnut Ridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lawrence Hall Health & Rehabilitation | 0.4 mi | ★★★★★ | 0 | 0 |
| Pocahontas Healthcare And Rehabilitation Center | 14.8 mi | ★★★★★ | 3 | 0 |
| Randolph County Nursing Home | 14.9 mi | ★★★★★ | 0 | 0 |
| Arkansas Continued Care Hospital Of Jonesboro | 23.1 mi | — | 0 | 0 |
| Ridgecrest Health And Rehabilitation | 24 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 August 2026) and official state health department websites.