The Green House Cottages of Southern Hills
701 South Main Street, Rison, AR 71665 · Cleveland County · (870) 325-6202
106 certified beds, about 82 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045377 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 0 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
Of 14 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $39,621 in the last three years; the largest was $39,621, and the latest is dated April 30, 2024.
Nurses and nurse aides worked 5.06 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
34.7% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Southern Administrative Services, an affiliated group of 35 nursing homes.
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.
305/23
1004/24
108/25
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
3E
1F
Potential for minimal harm
0A
0B
0C
August 7, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interviews, the facility failed to ensure a resident’s wheelchair was properly secured to ensure the resident was safely transported in the facility van for one (Resident #4) of one resident reviewed.
April 30, 2024Standard inspection, Complaint inspection · 10 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #82) of 1 sampled resident reviewed for elopement. The lack of an effective monitoring plan resulted in Resident #82 eloping from the facility and being found walking in the grass on the side of a public highway, approximately 100 yards from the resident's residence. 1. Resident #82 followed two other residents out to the back patio for their smoke break and staff only checked on residents every 5 to 10 minutes when they were outside the residence. Resident #82 was admitted on [DATE] with a diagnosis of Alzheimer's disease and had an admission Assessment which indicated the resident was at risk of wandering. On 04/23/2024, Resident #82 verbalized to staff that she lived close by and wanted to walk home. [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure (1) food preparation equipment was free of peeling and chipped paint to prevent potential food borne illness for resident who received meals from the kitchen in Cottage #6, (2) expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 7 of 7 kitchens, (3) foods stored in the freezer, refrigerator and dry storage area were covered, sealed, dated and were stored in accordance with the manufacturer's instructions for residents who received meals from the kitchen in Cottage #7, (4) that 1 of 7 ice scoop holder was maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from the kitchen in Cottage #7, and dietary staff washed their hands before handling [...]
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were not left at the bedside for 2 (Residents #7 and #29) sampled residents.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 1 resident who received pureed diets in Cottage #4, 1 resident who received pureed diets in Cottage #6, and 3 residents who received pureed diets in Cottage #7.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff used proper hand hygiene while passing medication and providing perineal care for 2 (Resident #16 and #25) sampled residents.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were not self-administered without a physician's order, and the interdisciplinary team (IDT) assessed residents to determine self-administration of medications was safe for 1 (Resident #33) of 1 sampled resident.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident restrooms were cleaned to promote a clean and sanitary environment for 1 (Resident #43) of 1 sampled resident who used the bathroom in their room.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents received proper and punctual incontinence care for 1 (Resident #25) sampled resident.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate treatment and services for residents receiving enteral nutrition via Percutaneous Endoscopic Gastrostomy (PEG) tube for 1 (Resident #23) of 1 sampled resident.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure a pharmacist's recommendation for the provider to provide an appropriate diagnosis before administering an antipsychotic medication was followed for 1 (Resident #20) sampled resident.
May 4, 2023Standard inspection · 3 citations
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents who experienced a significant change in status had a comprehensive assessment completed within 14 days of the facility determining that there had been a significant change for 2 (Residents #26, and #86) of 24 (#2, #11, #14, #26, #28, #29, #42, #43, #51, #57, #61, #63, #67, #69, #72, #73, #75, #77, #82, #85, #86, #87, #138, and #191) sampled residents who relied on the facility for accurate Minimum Data Set (MDS) documentation.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment and care in accordance with professional standards to prevent the worsening of a skin condition for 1 (Resident #11) sampled resident who had a non-pressure related skin condition and failed to provide services to prevent the worsening of a contracture for 1 (Resident #42) sampled resident who required a hand roll.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide service to maintain appropriate sleep hygiene for 2 (Residents #11 and #67) sampled residents who use Continuous Positive Airway Pressure (CPAP).
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 30, 2024 | Fine | $39,621 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.06 | 4.02 | 3.86 |
| Registered nurses | 0.31 | 0.41 | 0.69 |
| All nursing staff on weekends | 4.56 | 3.45 | 3.42 |
| Nurse aides | 3.72 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 34.7% | 49.5% | 45.8% |
| Registered nurse turnover | 55.6% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.38 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 5.27 on weekdays and 4.56 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.00 in April to June 2025 to 5.06 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.06 | 0.31 | 5.27 | 4.56 | 1.1% | 0 of 90 | 82 |
| Oct to Dec 2025 | 5.15 | 0.30 | 5.38 | 4.57 | 1.2% | 0 of 92 | 80 |
| Jul to Sep 2025 | 5.03 | 0.31 | 5.25 | 4.48 | 0.7% | 0 of 92 | 82 |
| Apr to Jun 2025 | 5.00 | 0.52 | 5.23 | 4.43 | 1.2% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 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.
| Measure | This home | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.7 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.2 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.7 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.8 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: RISON GH OPERATIONS LLC. CMS links this home to Southern Administrative Services, a group of 35 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | 5% or greater direct ownership interest | Organization | 100% | 02/10/2019 |
| Alexark1 LLC | 5% or greater indirect ownership interest | Organization | 01/01/2022 | |
| Jej Assets LP | 5% or greater indirect ownership interest | Organization | 01/01/2022 | |
| Jej Management, LLC | 5% or greater indirect ownership interest | Organization | 01/01/2022 | |
| Ponthie, Sharlot | 5% or greater indirect ownership interest | Individual | 01/01/2022 | |
| Phillips, Leslie | W-2 managing employee | Individual | 02/10/2019 | |
| Ponthie, John | Corporate director | Individual | 01/01/2022 | |
| Alexark1 LLC | General partnership interest | Organization | 02/10/2019 | |
| Jej Assets LP | Limited partnership interest | Organization | 02/10/2019 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on August 7, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 30, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 30, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 30, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
Other nursing homes nearby
- St. Johns Place of Arkansas, LLC Fordyce, 15 mi · 3 of 5 stars · 18 citations
- Pine Bluff Transitional Care Pine Bluff, 16.7 mi · 1 of 5 stars · 71 citations
- Trinity Village Medical Center Pine Bluff, 17.1 mi · 3 of 5 stars · 31 citations
- The Springs of Pine Bluff Pine Bluff, 17.2 mi · 2 of 5 stars · 19 citations
- The Blossoms at Star City Rehab & Nursing Center Star City, 19.7 mi · 3 of 5 stars · 23 citations
- The Blossoms at White Hall Rehab & Nursing Center White Hall, 23.3 mi · 2 of 5 stars · 35 citations
Arkansas contacts for a concern about a nursing home
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is The Green House Cottages of Southern Hills's Medicare star rating?
- CMS rates The Green House Cottages of Southern Hills 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Green House Cottages of Southern Hills get at its last inspection?
- 0 health deficiencies at the standard inspection on August 7, 2025. The Arkansas average is 2.7.
- Has The Green House Cottages of Southern Hills been fined?
- Yes. CMS lists 1 fine totaling $39,621 in the last three years.
- Does The Green House Cottages of Southern Hills 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 The Green House Cottages of Southern Hills?
- CMS lists 9 owners and managers, and links the home to Southern Administrative Services. Legal business name: RISON GH OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.