Little Rock, AR

The Green House Cottages Of Poplar Grove

1-star overall rating with 1-star inspections with 7 recent health deficiencies

7801 Kanis Rd, Little Rock, AR

(501) 404-0500

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

110

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Southern Administrative Services

Operator or chain grouping

Approved since

2018-12-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.86

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

5.26

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

4.90

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

6.00

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,554

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9894

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.37

Baseline 24.69% · Performance 20.96% · Measure score 4.37 · Achievement 1.02 · Improvement 4.37

Healthcare-associated infections

0.49

Baseline 8.93% · Performance 8.54% · Measure score 0.49 · Achievement 0 · Improvement 0.49

Total nurse turnover

1.50

Baseline 69.90% · Performance 60.91% · Measure score 1.50 · Achievement 0.68 · Improvement 1.50

Adjusted total nurse staffing

7.96

Baseline 5.49 hours · Performance 5.34 hours · Measure score 7.96 · Achievement 7.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.13%	10.72% 1.6 pts better	No Different than the National Rate · Eligible stays 178 · Observed rate 6.74% · Lower 95% interval 6.48%
Discharge to community	60.63%	50.57% 10.1 pts better	Better than the National Rate · Eligible stays 182 · Observed rate 55.49% · Lower 95% interval 51.97%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	94.69%	95.27% 0.6 pts worse	Numerator 107 · Denominator 113
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 113
Discharge self-care score	52%	53.69% 1.7 pts worse	Numerator 26 · Denominator 50
Discharge mobility score	48%	50.94% 2.9 pts worse	Numerator 24 · Denominator 50
Pressure ulcers or injuries, new or worsened	6.19%	2.29% 3.9 pts worse	Numerator 7 · Denominator 113 · Adjusted rate 5.49%
Healthcare-associated infections requiring hospitalization	8.54%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 91 · Observed rate 10.99% · Lower 95% interval 5.67%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 175
Staff flu vaccination coverage	98.13%	42% 56.1 pts better	Numerator 210 · Denominator 214
Discharge function score	54%	56.45% 2.5 pts worse	Numerator 27 · Denominator 50
Transfer of health information to provider	90.54%	95.95% 5.4 pts worse	Numerator 67 · Denominator 74
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	10%	25.2% 15.2 pts worse	Numerator 5 · Denominator 50

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.0 0.2 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.4 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.2 0.4 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.0 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	94.9% 4.8 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.1%	96.1% 3 pts better	95.5% 3.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.9% 0.2 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.9% · Q3 4.2% · Q4 3.2% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	1.4% 1.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	6.7%	4.9% 1.8 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 13.2% · Q3 2.4% · Q4 7.3% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.7%	21.8% 6.9 pts worse	19.6% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 26.1% · Q3 32.5% · Q4 31.0% · 4Q avg 28.7%
Percentage of long-stay residents who received an antipsychotic medication	7.5%	12.5% 5 pts better	16.7% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.4% · Q3 8.0% · Q4 8.3% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.7%	11.4% 3.7 pts better	16.3% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 14.2% · Q3 10.2% · Q4 6.0% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.3%	10.4% 0.9 pts worse	14.9% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 10.6% · Q3 21.8% · Q4 10.1% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.1% 1.1 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.6%	14.6% 8 pts worse	19.8% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 24.3% · Q3 19.6% · Q4 24.5% · 4Q avg 22.6%
Percentage of long-stay residents with pressure ulcers	8.5%	4.6% 3.9 pts worse	5.1% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.9% · Q3 9.7% · Q4 7.5% · 4Q avg 8.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.4%	81.8% 12.6 pts better	81.7% 12.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 80.9% · Q2 98.1% · Q3 100.0% · Q4 97.8% · 4Q avg 94.4%
Percentage of short-stay residents who had an outpatient emergency department visit	19.2%	13.8% 5.4 pts worse	12.0% 7.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 20.0% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.4% 0.8 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.4%	77.9% 4.5 pts better	79.7% 2.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.9%	25.2% 0.7 pts worse	23.9% 2 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 28.0% · Expected 25.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-04 · Fire 2024-10-04

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-10-20 · Fire 2023-10-20

14 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2022-08-05 · Fire 2022-08-05

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-10-20

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-11-13

F · Potential for more than minimal harm 2023-10-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-13

F · Potential for more than minimal harm 2023-10-20

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-13

F · Potential for more than minimal harm 2022-08-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-02

F · Potential for more than minimal harm 2022-08-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-09-02

E · Potential for more than minimal harm 2022-08-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-02

E · Potential for more than minimal harm 2022-08-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-07

E · Potential for more than minimal harm 2024-10-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-28

E · Potential for more than minimal harm 2024-10-04

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-28

E · Potential for more than minimal harm 2024-04-30

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-05-29

F · Potential for more than minimal harm 2023-12-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-28

D · Potential for more than minimal harm 2023-12-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-28

F · Potential for more than minimal harm 2023-10-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-13