The Green House Cottages of Belle Meade

The Green House Cottages of Belle Meade is a 167-bed skilled nursing, rehabilitation, and long-term care facility privately owned and administered by Pamela Diggs through Paragould GH Operations, LLC, at 2200 Chateau Blvd in Paragould, Arkansas, in Greene County. Occupancy stands at 73.2 percent, modestly exceeding the Arkansas average of 71.3 percent with an average length of stay of 203 days across all residents. The facility accepts private pay and holds dual Medicare and Medicaid certification. Like its sister facility in Mena, it operates under The Green House Project model, now known as AgingIN, which organizes care around dignity, personal choice, privacy, and relationship-rich living in a home-like setting rather than a conventional institutional structure.

The health inspection rating sits 30.6 percent below the Arkansas average, the primary driver of the 3-star overall rating. Across 4 inspections since 2023: February 2023, April 2024, December 2024, and August 2025, the facility accumulated 21 citations, matching the Arkansas average of 21.8. The severity picture requires attention: 1 critical citation was issued at the December 2024 inspection in the Quality of Care category. Critical citations indicate noncompliance that placed or could place residents at risk of serious harm. It has since been corrected. The August 2025 survey cited Abuse/Neglect, Infection Control, and Nutrition at moderate severity and all were corrected. Of the 21 total citations, 19 were moderate, 1 was minor, and 1 was critical. The leading deficiency categories over the inspection window are Infection Control (5 deficiencies, 24 percent) and Quality of Life & Care (5 deficiencies, 24 percent), with one Abuse, Neglect, and Exploitation citation recorded. One inspection was triggered by a complaint investigation. The facility is rated at 3 stars overall, with a mixed performance profile. Staffing is a clear strength: total adjusted nursing hours reach 5 hours 25 minutes per resident per day, 14 percent above the Arkansas average and ranking well within the top tier statewide. CNA hours of 3 hours 26 minutes per day are 26 percent above the state benchmark, and weekend total nursing of 4 hours 18 minutes per day is 23 percent above average, meaningful for families concerned about weekend care consistency. Physical therapist hours are double the state average, supporting the facility’s short-term rehabilitation positioning. RN hours match the state average on weekdays but fall 25 percent below on weekends (12 minutes vs. 16 minutes), a gap worth noting for residents with complex clinical needs. Q2 2025 staffing data shows 221 total staff, including 132 CNAs, 29 LPNs, and 13 RNs, with a staff-to-resident ratio of 1.71:1, 6 percent above the Arkansas average. Quality measures exceed the state benchmark by 35.1 percent, the facility’s strongest CMS dimension. The facility primarily serves short-stay rehabilitation residents: 57 percent of admissions are Medicare-funded with typical stays of one to two months. Private-pay admissions account for 37 percent, with longer average stays of four to five months. Long-term Medicaid residents make up 7 percent of admissions with average stays of approximately five years. Revenue is $16.7 million annually, with a $2.7 million profit and payroll of $7.4 million (44 percent of revenue). The Paragould location has a walk score of 69, with some daily errands reachable on foot.

Amenities are broad: beauty and barber services, library and reading areas, transportation, arts and crafts, music therapy, exercise classes, gardening, cooking and baking, pet therapy, intergenerational programs, cultural and spiritual activities, and special events and celebrations are all within an operating model running 24 hours a day. Meals are made-to-order by a professional chef and described as nutrient-dense, a differentiator reflecting the model’s emphasis on quality of daily life.

The Green House Cottages of Belle Meade suits families seeking a staffing-strong, rehabilitation-focused skilled nursing facility in northeast Arkansas with an elder-centered care philosophy. The now-corrected critical citation from December 2024, along with the Abuse/Neglect citation from August 2025, are meaningful data points that families should investigate further before deciding by reviewing the full inspection reports through the Arkansas DHS Office of Long Term Care.

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Facility Direct Line (870) 236-7104 bladmin@bellemeaderehab.com