5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Green House Cottages of Homewood is a 138-bed skilled nursing and rehabilitation facility at 215 Homewood Circle in Mena, Arkansas, Polk County. Privately owned and administered by Vicki Hughes through Mena SNF Operations, LLC, the facility holds dual Medicare and Medicaid certification and accepts private pay. Current occupancy is 62.6 percent, below the Arkansas average of 71.3 percent, ranking 111th of 166 and suggesting availability. The facility’s signature is affiliated with The Green House Project, a nationally recognized culture-change model now operating as AgingIN, which restructures nursing home care around person-directed, relationship-rich environments. It incorporates comprehensive dementia education and training into its care philosophy, setting apart Green House Cottages from conventional skilled nursing facilities in the region.
The inspection record spans three standard surveys: December 2022, February 2024, and February 2025, totaling 20 citations. All 20 were moderate in severity. No critical or serious citations were issued, and all have been corrected. No complaint investigations, fines, or immediate jeopardy findings appear in the record. The leading deficiency categories over the seven-year window are Quality of Life & Care (4 deficiencies), Infection Control (3), Resident Rights (2), and Pharmacy Services (2). The February 2024 survey cited Administration, Infection Control, and Nursing Services, while the February 2025 survey cited Infection Control only, a contained pattern with no escalation in severity. CMS place the facility solidly above the Arkansas average across every measured dimension. The overall rating exceeds the state benchmark by 27 percent, with health inspection performance running 38.9 percent above average, staffing 23.1 percent above, and quality measures 8.1 percent above, earning the facility 4 stars from CMS.
Adjusted total nursing hours reach 5 hours 10 minutes per resident per day, ranking 25th among 164 Arkansas SNFs. The staffing model leans heavily on licensed practical nurses at 1 hour 24 minutes per day, LPN hours at 47 percent, above the state average, and certified nursing assistant hours at 3 hours 19 minutes per day, running 22 percent above state. Weekend nursing coverage of 4 hours 29 minutes per day is 29 percent above the Arkansas average, an indicator that staffing levels reach weekends. RN hours, 23 minutes per day, are modestly below the state average of 24 minutes, worth noting for residents with complex clinical needs. Q2 2025 payroll data shows 147 total staff, including 80 CNAs, 22 LPNs, and 6 RNs, with only 5 percent of total hours coming from contractors. The facility primarily serves short-stay rehabilitation residents: 48 percent of admissions are Medicare-funded with typical stays of one to two months, and 44 percent are private-pay with stays of two to three months. Long-term Medicaid residents account for 9 percent of admissions. Annual revenue is $12.3 million with a $1.3 million profit, while payroll costs of $5.4 million amount to 44.2 percent of revenue.
Green House Cottages of Homewood suits individuals recovering from surgery, illness, or a hospital stay who want above-average staffing, a clean severity record, and a care model built on dignity and personal connection. It’s also a strong option for families seeking memory-care-informed skilled nursing in rural southwest Arkansas near Mena.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ■ Avg State avg: 24m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 25m per day | ▲ 48% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 14m per day | ▲ 19% State avg: 2h 43m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 28m per day | ▲ 28% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 68% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 13% State avg: 16m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Lower than the Arkansas average: 71.3%The Green House Cottages of Homewood is legally operated by Mena SNF Operations, LLC, and administered by T Marquel (Kelly) Parks.
In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AR Average | vs. AR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 21 | This facility has 10% fewer total deficiencies than a typical Arkansas assisted living residence (19 vs. AR avg 21).↓ 10% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4.8 | 5.3 | This facility has 9% fewer deficiencies per year than a typical Arkansas assisted living residence (4.8 vs. AR avg 5.3).↓ 9% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
All 70 CNA Staff are full-time employees. No contractors work on this role.
70
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,177 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 70 | 0 | 70 | 25,562 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 25 | 0 | 25 | 11,090 | 92 | 100% | 9.9 |
| Clinical Nurse Specialist | 3 | 2 | 5 | 1,577 | 89 | 97% | 7.8 |
| Registered Nurse | 3 | 0 | 3 | 1,160 | 86 | 93% | 8.7 |
| Nurse Aide in Training | 6 | 0 | 6 | 905 | 50 | 54% | 9.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 729 | 77 | 84% | 5.7 |
| Nurse Practitioner | 4 | 0 | 4 | 559 | 67 | 73% | 7.8 |
| Dietitian | 1 | 0 | 1 | 522 | 62 | 67% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 493 | 62 | 67% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 446 | 56 | 61% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 379 | 66 | 72% | 5.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 378 | 69 | 75% | 5.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 86 | 30 | 33% | 2.9 |
| Qualified Social Worker | 0 | 2 | 2 | 78 | 13 | 14% | 6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 19 | 3 | 3% | 6.2 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
17% worse than State averageState average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
28% worse than State averageState average: 13.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
In line with State averageState average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
16.5%
24% worse than State averageState average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
49% worse than State averageState average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
55% worse than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
1.8%
63% better than State averageState average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.3%
Percent of long-stay residents who lose too much weight
8.5%
70% worse than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.3%
78% better than State averageState average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
6.6%
37% better than State averageState average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with State averageState average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.33
83% better than State averageState average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.01
54% better than State averageState average: 2.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.8%
16% better than State averageState average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
47% worse than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.5%
In line with State averageState average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
32% better than State averageState average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.8%
22% worse than State averageState average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
43% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.3%
In line with State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.4%
In line with State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
48% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Green House Cottages of Homewood from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Mena's city center to The Green House Cottages of Homewood's address, calculated via Google Maps.
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The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
| Indian Rock Village | NH | Fairfield Bay | - | 55 | - | 11 | Studio / 1 Bed / 2 Bed |
| Bear Creek Healthcare LLC | NH | De Queen | - | 131 | - | 35 | - |
| Heartland Rehabilitation and Care Center | NH RC SNF | Benton | - | 119 | A+ | 0 | - |
| The Green House Cottages of Homewood | NH HOS MC PC RC SNF | Mena | - | 138 | - | 67 | - |
| Barnes Healthcare | NH MC | Lonoke | - | 141 | A+ | 38 | Private / Shared Rooms |
The Green House Cottages of Homewood is legally operated by Mena SNF Operations, LLC, and administered by T Marquel (Kelly) Parks.
The Green House Cottages of Homewood has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Green House Cottages of Homewood's occupancy is 59%.
The Green House Cottages of Homewood is registered as a for-profit in AR.
T Marquel (Kelly) Parks is the administrator of The Green House Cottages of Homewood.
The Green House Cottages of Homewood has 138 beds.
Yes — there are 5 photos of The Green House Cottages of Homewood in the photo gallery on this page.
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