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Greene Acres Nursing Home

2402 Country Club Road, Paragould, AR 72450 · Greene County · (870) 236-8771

143 certified beds, about 94 residents a day · Non profit - Corporation · Medicare and Medicaid since 2008

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 045424 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 8, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).

None of its 8 health citations since June 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.78 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.

40.0% of nursing staff left within the year CMS measured (Arkansas average 49.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
3E
2F
Potential for minimal harm
0A
2B
0C
January 8, 2026Standard inspection · 1 citation
  1. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on interviews, facility document review, and facility policy review, it was determined that the facility failed to conduct a thorough self-assessment of the facility staffing required for day/evening/night coverage, the competencies and training of the staff, formulate a plan for staff recruitment and retention, conduct community-based risk analysis identifying the potential natural disasters, to meet the needs of the residents when completing their facility assessment.
July 18, 2024Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure that food was labelled correctly, and hand hygiene was performed in the kitchen to prevent cross contamination.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure interventions were implemented to promote safety while smoking for one (Resident #78) of one sampled resident.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on observation, record review, interview and facility policy review, it was determined the facility failed to ensure staff performed hand hygiene before applying and taking off gloves, before, during and after perineal care for 1 (Resident #63) sampled resident observed during incontinent care. Additionally, the facility failed to ensure dirty wipes were not placed on clean wipes to prevent cross contamination during incontinent care for Resident #63.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on observation, and interview, the facility failed to ensure accommodation of needs were met by not ensuring the call light was within reach for one (Resident #23) of one resident
June 9, 2023Standard inspection · 3 citations
  1. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 9, 2023
    Inspectors wroteBased on observations, record review, and interview, the facility failed to ensure oxygen tubing was properly stored in a plastic bag or container when not in use to prevent potential cross contamination for 1 (Resident #20) of 3 (Residents #19, #20, and #67) sampled residents who had a Physician Orders for Oxygen (O2) and failed to ensure Continuous Positive Airway Pressure (CPAP)/Bilevel Positive Airway Pressure (BiPAP) mask were stored in a plastic bag or container when not in use to prevent cross contamination for 2 (Residents # 15 and #41) of 3 (Residents #14, #20 and #41) sampled residents who had Physician Orders for CPAP/BiPAP therapy as documented on lists provided by the Administrator on 06/09/23 at 9:00 AM.
  2. B
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the facility developed and implemented a comprehensive care plan for Continuous Positive Airway Pressure (CPAP) and Chronic Obstructive Pulmonary Disease (COPD) for 1 (Resident #41) of 21 (Residents #6, #10, #11, #15, #16, #19, #20, #26, #30, #41, #59, #67, #71, #73, #75, #77, #79, #83, #85, #86 and #138) sampled residents according to a list provided by the Administrator on 06/05/23 at 11:15 AM.
  3. B
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2023
    Inspectors wroteBased on record review, and interview, the facility failed to ensure the Physician followed up on the Pharmacy Consultant recommendations to assess the correct diagnoses for 1 (Resident #67) of 3 (Residents #15, #67 and #73) sampled residents who were receiving antipsychotic medications according to a list provided by the Administrator on 06/09/23 at 9:00 AM.

Fire safety inspections

8 fire safety citations on file: 5 on January 8, 2026, 2 on July 18, 2024, 1 on June 9, 2023.

Every fire safety citation8 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · January 8, 2026 · Corrected (the home has a date of correction)
  2. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 8, 2026 · Corrected (the home has a date of correction)
  3. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 8, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 8, 2026 · Corrected (the home has a date of correction)
  5. F
    Ensure proper usage of power strips and extension cords.
    K 920 · January 8, 2026 · Corrected (the home has a date of correction)
  6. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 18, 2024 · Corrected (the home has a date of correction)
  7. F
    Have proper medical gas storage and administration areas.
    K 923 · July 18, 2024 · Corrected (the home has a date of correction)
  8. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · June 9, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeArkansasUnited States
All nursing staff (RN, LPN and aides)3.784.023.86
Registered nurses0.420.410.69
All nursing staff on weekends2.983.453.42
Nurse aides2.62
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)40.0%49.5%45.8%
Registered nurse turnover0.0%44.8%42.9%
Administrators who leftnot reported

CMS expects 3.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.10 on weekdays and 2.98 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 3.78 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.780.424.102.98 0.0%0 of 9094
Oct to Dec 20253.850.424.212.94 0.0%0 of 9292
Jul to Sep 20254.040.444.353.23 0.0%1 of 9291
Apr to Jun 20254.160.464.463.42 0.0%2 of 9189
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Arkansas, Jan to Mar 20264.050.404.283.472.0%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeArkansasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.19.513.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.81.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.33.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.21.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.910.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.64.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
25.210.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
11.724.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.012.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.11.8

Owners and operators

Legal business name: GREENE ACRES NURSING HOME ASSOCIATION,INC..

NameRoleTypeShareSince
Blackburn, JustinCorporate officerIndividual01/01/2020
Ellzey, SarahCorporate officerIndividual01/01/2023
Hefner, DickCorporate officerIndividual01/01/2024
Kemp, ClarenceCorporate officerIndividual01/01/2013
Lampkins, JoCorporate officerIndividual01/01/2012
Mangrum, LindaCorporate officerIndividual01/01/2024
Marlar, GregCorporate officerIndividual01/01/2013
McMillion, RustyCorporate officerIndividual01/01/2019
Miller, WhitneyCorporate officerIndividual01/01/2023
Milligan, KeithCorporate officerIndividual01/01/2019
Wright, KennyCorporate officerIndividual01/01/2021
Wright, RonnieCorporate officerIndividual01/01/2012
Greene Acres Nursing Home Association,inc.Operational/managerial controlOrganization04/25/1966
Deangelo, TrevorOperational/managerial controlIndividual08/02/2019
Greene Acres Nursing Home Association,inc.Adp of the SNFOrganization12/03/2024
Deangelo, TrevorAdp of the SNFIndividual12/03/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 18, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 8, 2026: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 18, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 18, 2024: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the Arkansas average of 3.45.

Other nursing homes nearby

Arkansas contacts for a concern about a nursing home

These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Greene Acres Nursing Home's Medicare star rating?
CMS rates Greene Acres Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Greene Acres Nursing Home get at its last inspection?
1 health deficiency at the standard inspection on January 8, 2026. The Arkansas average is 2.7.
Has Greene Acres Nursing Home been fined?
CMS lists no fines in the last three years.
Does Greene Acres Nursing Home accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Greene Acres Nursing Home?
CMS lists 16 owners and managers. Legal business name: GREENE ACRES NURSING HOME ASSOCIATION,INC..

Sources

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