The Green House Cottages Of Poplar Grove

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 77.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 140 beds and averages 111.2 residents a day — about 79% occupied, or roughly 29 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.26 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.73 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.80 hrs/resident/day on weekends vs 5.45 on weekdays — 12% thinner on weekends. RN hours go from 0.38 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · D2025-05-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review, facility policy review, it was determined that the facility failed to ensure care planned fall interventions were implemented for one (Resident #1) of three residents reviewed for quality of care. It was also determined that the facility failed to notify Resident #1's guardian that the resident refused to take ordered medication more than two times in a row. The findings include: A review of a facility policy titled, Fall Guidelines, Section General Resident Care Plan Documentation Guidelines, List new intervention developed for each fall with date of implementation. The policy indicated the charge nurse duties included update the care plan with new interventions and the Director of Nurses (DON) or designee duties included In-service staff of interventions in place to prevent injury. A review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/24/2025, indicated Resident #1 had diagnoses which included: unspecified dementia, depression, type 2 diabetes mellitus with hyperglycemia and diabetic neuropathy,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and facility policy review, it was determined that the facility failed to ensure the rear casters of the mechanical lift were not locked with lifting and lowering resident to prevent accidents and injuries affecting 1 sampled (Resident #270) of 4 sampled residents reviewed for accidents. The facility failed to ensure the residents environment was free of accidents and hazards for 1 sampled (Resident #48) of 4 sampled residents reviewed for accidents and hazards. The Findings include: Review of Resident #270's Care Plan revealed diagnoses of subdural hemorrhage, respiratory failure, and type II diabetes. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/21/2024 indicated a Brief Interview for Mental Status (BIMS) score of 13 (13-15 indicates cognitively intact). Resident#270 required total assistance for toileting, bathing, and dressing the lower body. Review of Resident #270's Care Plan, dated 09/19/2024, revealed resident was dependent on helpers, was unable to provide any effort for toileting and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-04 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure that pills were properly stored in the acceptable package or bottle to prevent mediation errors in Building 1 and failed to ensure a thermometer and temperatures were being monitored in the narcotic refrigerator in Building 4 to ensure medications were stored at an appropriate temperature. Findings include: On 10/02/24 at 8:46 AM, While checking the medication cart in building #1, two loose, round, tan pills and residue of pills were found inside the top drawer of the cabinet, in the far-right corner. Licensed Practical Nurse, (LPN) #6 stated they looked like a supplement, and she would waste the pills. Surveyor asked if someone had to be notified prior to wasting, or if they had a process, and LPN #6 replied, Yes, I would tell the Director of Nursing (DON). LPN #6 stated that it was not appropriate to store loose pills, and she would expect to find pills in an identifiable bottle to protect residents. On 10/02/24 at 8:50 AM, DON arrived and placed the two intact pills in a plastic bag for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-04 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, it was determined that the facility failed to ensure that a comprehensive care plan addressed pain for 1 of 1 sampled resident (Resident #58) reviewed for pain management to ensure appropriate interventions were in place. The Findings include: Review of Resident #58's Care Plan revealed diagnoses of cancer, inability to use legs, and type II diabetes. Review of an admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/06/2024 suggest a Brief Interview for Mental Status (BIMS) score of 15 (13-15 indicates cognitively intact) Section J0100 a. suggested resident was on scheduled pain medication, section J0200 showed pain assessment interview should be conducted, J0300 indicated pain was present, J0410 indicated Resident #58 had occasional pain, and section J0510 on the MDS suggested pain occasionally affects Resident #58's sleep. A review of Physician Orders, dated 09/05/2024, revealed that pain should be evaluated every shift, and a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview the facility failed to ensure oxygen was administered at the flow rate ordered by the physician to reduce the potential for respiratory complications for 1 (Resident #2) of 2 sampled residents that were reviewed for respiratory therapy. The findings are: Review of a Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 6/27/24 indicated Resident #2 had diagnoses of chronic obstructive pulmonary disease, stroke, dementia and functional quadriplegia (loss of movement in all four limbs), scored 3 (0-7 indicates severe impairment) on the Brief Interview for Mental Status (BIMS) and received oxygen therapy. A Review of a Physician's order, dated 06/14/2022 indicated, May have Oxygen 2-3 LPM [liters per minute] Via N/C [Nasal Cannula] as needed every shift for Shortness of breath and/or pulse ox [oximetry] [oxygen level] < [less than] 90%. Review of a Care Plan with a revision date of 01/18/2024 indicated Resident #2 received oxygen therapy at 2 liters per nasal cannula as needed with the goal being the resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-04 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and facility policy review, the facility failed to ensure expired food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria, and to ensure food stored in the freezer were appropriately dated. The findings are: On 09/30/24 at 9:56 AM, a clear, unsealed, package of hot dogs dated 9/12/24 was stored in the door of the refrigerator, located in the pantry of Cottage 6. The Dietary Manager (DM) immediately removed the hot dogs and said these are not good and should have been used or removed 7 days after being opened because they can cause someone to get sick. On 09/30/24 at 10:52 AM, While checking the freezer in Building 1 (Dogwood), 2 frozen apple pies were observed without received dates. DM stated, frozen pies should have a received date so staff can tell when they arrived or need to be thrown out. On 10/03/24 at 12:31 PM DM provided a policy titled Storage of Food and Beverages Brought by Visitors; it does not cover opened prepackaged meat items. On 10/03/24 at 2:06 PM, DM provided a policy titled Food…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and facility policy review, it was determined that the facility failed to ensure proper hand hygiene was performed appropriately with peri care to prevent cross contamination, and the spread of infection. This failed practice affected 1 sampled (Resident #270) resident requiring assistance for incontinence care, with the potential to affect 2 sampled (Resident #58, Resident #270) residents reviewed for bowel and bladder. Findings include: Review of Medical Diagnoses Report revealed Resident #270 had a diagnoses of subdural hemorrhage, respiratory failure, and type II diabetes. Review of an admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/21/2024 indicated a Brief Interview for Mental Status (BIMS) score of 13 (13-15 indicates cognitively intact). Resident #270 required moderate assistance with meals and personal hygiene, and total assistance for toileting, bathing, and dressing the lower body. On 10/01/24 at 09:25 AM, Shahbaz #5 was observed removing Resident #270's wet brief after rolling down the front…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-30 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to maintain an orderly, uncluttered environment for 1 (Resident #3) of 3 sampled residents. The findings include: Resident #3 had diagnoses of hepatic failure, cirrhosis of liver, and heart failure. The quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/25/2024 documented a Brief Interview for Mental Status (BIMS) score of 13 (13-15 indicates cognitively intact). On 04/30/2023 at 09:15 AM, the following observations were made in Resident #3 ' s bathroom: 1. Two wheelchairs and one shower chair in the shower stall. Clothing and blankets were stacked on top of the chairs. 2. The toilet had a raised seat extender. On top of the raised seat extender was the bath basin used for bed baths, draining water from the basin into the toilet. 3. The bathroom sink had several wet wash clothes drying on the sink. On 04/30/2024 at 9:30 AM, Resident #3 was asked, Are they providing good care for you? Resident #3 responded, I have had colon cancer with treatments of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-12-29 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure staff washed their hands when serving meals, follow the menu and ensure the menu was posted. The findings are: On 12/27/23 at 12:27 PM, Certified Nurse Aid (CNA) #1 was observed running her hands down her braids without washing her hands. She passed lunch trays without washing her hands between residents. A Fall/Winter menu for 12/28/23 documented that the residents should have gravy, and a choice of cereal for breakfast. On 12/28/23 at 8:38 AM, the residents were not served gravy for breakfast, and the menu was not posted. The Surveyor asked CNA #3 in Cottage 3 Can you tell me why the residents were served gravy with their breakfast? She stated, I don't know. On 12/28/23 at 8:43 AM, the residents were not served gravy, or cereal for breakfast, and the menu was not posted in Cottage #3. CNA #5 was asked, Can you tell me why the residents are not served gravy, or cereal, and why the menu is not posted? She stated, They didn't send any gravy, and we're out of milk. The Surveyor asked, Can you tell me why…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-12-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to ensure fingernails were regularly trimmed to maintain good hygiene and grooming for 1 Resident #4 sampled residents who required staff assistance with nail care. The findings are: 1. Resident #4 had diagnoses of Primary Generalized Arthritis and Need for Assistance with Personal Care. a. A Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/14/23 documented the Resident scored 08 (08-12 indicates moderately impaired) on the Brief Interview for Mental Status (BIMS) and required substantial / maximal assistance with personal hygiene / Activity of Daily Living (ADL)s except eating. b. A Care Plan, last completed on 12/06/23, documented the Resident had an Activities of Daily Living (ADL) self-care performance deficit related to weakness and Arthritis and her nails were to be checked for length and trimmed as necessary. c. On 12/27/23 at 12:09 PM, Resident #4 was sitting up in her chair, visiting with family. At 12:16 PM, Certified Nursing Assistant (CNA) #6 brought in the Resident's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SOUTHERN ADMINISTRATIVE SERVICES — 35 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $10.7M paid to related parties — landlords or management companies under common ownership — equal to about 67% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR