3/5
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.
3/5
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 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.
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.
| 21m per day | ▼ 11% 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 4m per day | ▲ 12% 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 30m per day | ▲ 29% 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 22m per day | ▲ 25% 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.
| 2m per day | ▼ 6% 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.
| 10m per day | ▼ 39% State avg: 16m per day · National avg: 28m per day |
Similar to the Arkansas average: 71.3%The Green House Cottages of Belle Meade is legally operated by Paragould GH Operations, LLC, and administered by Pamela Diggs.
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.
| 15 | 21 | This facility has 29% fewer total deficiencies than a typical Arkansas assisted living residence (15 vs. AR avg 21).↓ 29% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 5 | 7 | This facility has 29% fewer deficiencies per year than a typical Arkansas assisted living residence (5 vs. AR avg 7).↓ 29% 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 Aug 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.
19 of 21 citations resulted from standard inspections; 1 of 21 resulted from complaint investigations; and 1 of 21 came from combined inspections (standard and complaint).
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 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 132 CNA Staff are full-time employees. No contractors work on this role.
132
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,852 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 132 | 0 | 132 | 39,038 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 28 | 0 | 28 | 10,851 | 92 | 100% | 9.8 |
| Clinical Nurse Specialist | 6 | 3 | 9 | 2,056 | 92 | 100% | 7.7 |
| RN Director of Nursing | 4 | 0 | 4 | 1,776 | 65 | 71% | 7.9 |
| Registered Nurse | 13 | 0 | 13 | 1,603 | 88 | 96% | 6.7 |
| Nurse Aide in Training | 14 | 0 | 14 | 1,375 | 82 | 89% | 7.4 |
| Physical Therapy Aide | 0 | 8 | 8 | 1,343 | 75 | 82% | 6.8 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,002 | 89 | 97% | 11.3 |
| Administrator | 2 | 0 | 2 | 904 | 61 | 66% | 8 |
| Speech Language Pathologist | 0 | 5 | 5 | 867 | 79 | 86% | 6.4 |
| Nurse Practitioner | 4 | 0 | 4 | 549 | 66 | 72% | 7.9 |
| Dietitian | 1 | 0 | 1 | 497 | 62 | 67% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 492 | 63 | 68% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 473 | 60 | 65% | 7.9 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 371 | 79 | 86% | 3.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 208 | 47 | 51% | 4.3 |
| Medical Director | 0 | 1 | 1 | 49 | 8 | 9% | 6.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 14 | 2 | 2% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 5 | 3 | 3% | 1.6 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
33% lower than State averageState average: $26K
36% more fines than State averageState average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 19, 2024 · $14K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 19, 2024Last updated: Jan 2026
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.
8.6
12% worse than State averageState average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.8
19% better 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
9.7%
16% better than State averageState average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
11.1%
17% better than State averageState average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.7%
22% better than State averageState average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
13.7%
249% worse than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
3.6%
23% 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
5.1%
In line with State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
2.5%
77% better than State averageState average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
In line with State averageState average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.56
21% better than State averageState average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.99
55% 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
98.1%
21% better than State averageState average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
21% better than State averageState average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.3%
55% better than State averageState average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
2.4%
83% better than State averageState average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
92% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.1%
21% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.6%
10% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
57% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
129Residents meet regularly to discuss policies, care quality, 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 Belle Meade from 2011–2023, based on CMS SNF Cost Reports.
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.
Most new residents arrive under Medicare (57% 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 Paragould's city center to The Green House Cottages of Belle Meade'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.
| The Green House Cottages of Belle Meade | NH | Paragould | - | 167 | - | 69 | - |
| Butterfield Trail Village | NH AL IL | Fayetteville (East Joyce Boulevard) | - | 87 | A+ | 39 | Studio / 1 Bed / 2 Bed |
| Barnes Healthcare | NH MC | Lonoke | - | 141 | A+ | 38 | Private / Shared Rooms |
| The Green House Cottages of Poplar Grove | NH HC MC RC | Little Rock (Leander) | - | 120 | A+ | 31 | Private Rooms / Semi-Private Rooms |
| Timberlane Health & Rehab | NH MC RC | El Dorado | - | 106 | A+ | 33 | - |
The Green House Cottages of Belle Meade is legally operated by Paragould GH Operations, LLC, and administered by Pamela Diggs.
The Green House Cottages of Belle Meade has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Green House Cottages of Belle Meade's occupancy is 70%.
The Green House Cottages of Belle Meade is registered as a for-profit in AR.
Pamela Diggs is the administrator of The Green House Cottages of Belle Meade.
The Green House Cottages of Belle Meade has 167 beds.
Yes — there are 7 photos of The Green House Cottages of Belle Meade in the photo gallery on this page.
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