THE GREEN HOUSE COTTAGES OF NORTHWEST ARKANSAS Nursing Home

THE GREEN HOUSE COTTAGES OF NORTHWEST ARKANSAS Summary

Provider Name: THE GREEN HOUSE COTTAGES OF NORTHWEST ARKANSAS

Address: 1303 NE LEGACY PARKWAY, BENTONVILLE, AR 72712

Phone: (479) 271-2387

County: Benton (030)

Ownership Type: For profit - Limited Liability company

Certified Beds: 70

Average Residents Per Day: (10)

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: THE GREEN HOUSE COTTAGES OF NORTHWEST ARKANSAS, LLC

First Approved Date: May 4, 2023

Affiliated Entity: SOUTHERN ADMINISTRATIVE SERVICES (480)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: (1)

Health Inspection Rating: (1)

QM Rating: (1)

Long Stay QM Rating: (1)

Short Stay QM Rating: (1)

Staffing Rating: (1)

Staffing Report Note: 6

PT Staffing Note: 6

Nurse Aide Staff Hours Per Day, per resident: , LPN Staff Hours Per Day: , RN Staff Hours Per Day: , Licensed Staff Hours Per Day:

Total Nurse Staff Hours Per Day, per resident:

Weekend Nurse Staff Hours: , Weekend RN Staff Hours:

PT Staff Hours Per Day, per resident:

Nurse Staff Turnover: , Nurse Turnover Note: 6

RN Turnover: , RN Turnover Note: 6

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: , Case Mix LPN Hours Per Day: , Case Mix RN Hours Per Day:

Adjusted Nurse Aide Hours Per Day, per resident: , Adjusted LPN Hours Per Day: , Adjusted RN Hours Per Day:

Total Adjusted Nurse Hours Per Day, per resident:

Adjusted Weekend Nurse Hours Per Day, per resident:

Health Survey Dates and Scores: Cycle 1: 2023-05-03 (Score: .), Cycle 2: (Score: .), Cycle 3: (Score: .)

Total Weighted Health Score:

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 698.75, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 1303 NE LEGACY PARKWAY,BENTONVILLE,AR,72712 (36.3803, -94.193)

Process Date: 2024-03-01