The Green House Cottages of Northwest Arkansas

In the surveyor’s words

From the most serious findings on record at The Green House Cottages of Northwest Arkansas, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 24, 2024

  Based on observations and interview, the facility failed to ensure (1) food items stored in the freezer or refrigerator were sealed, and covered, (2) that expired food items were promptly removed/discarded by the expiration or use by dates, and foods were dated as when received to ensure first in and first out usage to prevent the potential for food borne illness, (3) that 1 of 5 ice machines and 2 of 5 ice scoop holders were maintained in clean and sanitary condition to prevent food and beverage contamination, (4) that staff washed their hands between dirty and clean tasks and before handling clean equipment to minimize the potential for contaminating food items for residents who received meals from 1 of 1 kitchen, (5) that hot food items were maintained at above 135 degrees Fahrenheit on… […]

• No harm, potential for more than minimal, patternF805May 24, 2024

  Based 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. The findings are: 1. On 05/20/2024 at 12:45 PM, in Cottage #4, [NAME] House, pureed food items prepared and served to the residents on a pureed diet were as follows: a. Pureed breaded baked chicken. The consistency was lumpy, thick and there were pieces of meat visible in the mixture. b. Pureed cauliflower with red pepper. The consistency was lumpy. There were pieces of red pepper visible in the mixture. c. Pureed english peas. […]

• No harm, potential for more than minimal, patternF880May 24, 2024

  Based on record review, observation, and interview, the facility failed to implement enhanced barrier precautions for 1 resident (Resident #16); and failed to ensure hand hygiene/glove changes were implemented during incontinence care for 1 (Resident #34) to prevent the spread of infections. The findings are: 1. A review of an Admission Record, indicated the facility admitted Resident #34 with diagnoses that included hemiplegia and hemiparesis. a. The modified 5-day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/15/2024 revealed Resident #34 had a Brief Interview for Mental Status (BIMS) score of 5, which indicated the resident had severe cognitive impairment. Resident #34 was dependent on staff for toileting and was frequently incontinent of bowel and bladder. b. […]

• No harm, potential for more than minimal, patternF925May 24, 2024

  Based on observation, record review, and interview, the facility failed to ensure an effective pest control program was maintained to keep the facility free of pests. This failed practice had the potential to affect residents according to the list provided by the Dietary Supervisor on 05/21/2024 at 12:16 AM. The findings are: 1. On 05/21/2024 at 12:21 PM, the following observations were made in the kitchen in [NAME] House #3: a. There were three flies on the counter by the 3-compartment sinks. b. There were two flies by the sink faucet. c. One fly was on the container of honey by the 3-compartment sink. d. There were two flies on the cabinet above the food preparation counter. e. One fly on the handle of a saucepan on the stove. f. […]

• No harm, potential for more than minimal, isolatedF812Sep 25, 2025

  Number of residents sampled: 11Number of residents cited: facilityBased on observations, interviews, and facility policy review, the facility failed to food was stored properly and dishes were maintained in clean condition and in good repair in one of one facility kitchen. Specifically, the facility failed to ensure food stored in the cabinets, dry storage area and refrigerator were dated; and failed to ensure dishes and utensils were stored in a sanitary manner. This failed practice had the potential to affect 12 residents who resided in [NAME] house and received meals from the kitchen. […]