The Green House Cottages Of Homewood

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.

48.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 119 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.4% 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 58 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 27% 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 138 beds and averages 79.5 residents a day — about 58% occupied, or roughly 58 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 5.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.55 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 4.93 hrs/resident/day on weekends vs 5.72 on weekdays — 14% thinner on weekends. RN hours go from 0.54 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% is about the same as the national median of 45%.

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · D2025-02-27 · 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 the facility failed to follow Enhanced Barrier Precautions (EBP) during intravenous catheter care for 1 (Resident #33) of 1 sampled resident reviewed for intravenous (IV) catheter care, IV antibiotic administration, and EBP. The findings are: Resident #33 had diagnoses of kidney abscess, diabetes mellitus (DM), cerebral palsy, hemiplegia, and neurogenic bladder. The significant change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/21/2025 indicated the resident scored 15 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS), had an IV access, and took an antibiotic. Review of the care plan revealed Resident # 33 was on Isolation Precautions: Enhanced Barrier Precautions. Enhanced Barrier Precaution signage and personal protective equipment (PPE) was observed at the entry of Resident #33 ' s room. On 02/24/2025 at 3:30 PM, this surveyor observed Licensed Practical Nurse (LPN) #1 access an IV catheter to Resident #33 ' s left arm for IV…

  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 · F2024-02-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Surveyor: [NAME], [NAME] Based on observation, and interview, three employees who did not perform hand hygiene before serving food in the kitchen in Cottages 7 and 8, this had the potential to affect 22 residents who receive meals, and 1 employee who did not perform hand hygiene going from raw meat to serving bread in Cottage 3. This had the potential to affect 10 residents who receive a tray from the kitchen, and open food in freezers in Cottages 4 and 5 that was not dated. This had the potential to affect 21 residents who receive food in Cottages 4 and 5. The findings are: 1. Cottage 7: a. On 1/30/24 at 12:03 pm, observed Certified Nursing Assistant (CNA) #1 leave Cottage 7 and go to Cottage 6 to get a puree machine and return and start serving food to residents without performing hand hygiene. b. On 1/30/24 at 12:09 pm, CNA #1 pulled down her top in the back with both ungloved hands, then began to serve food again without performing hand hygiene. c. On 1/30/24 at 12:16 pm, CNA 2 took a food tray into 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-01 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 fingernail care and shaving was regularly provided for 4 (Residents #32, #51, #57 and #60) of 4 sampled residents who required staff assistance with personal hygiene. The findings are: 1. On 1/29/2024 at 9:08 AM, Resident #32's fingernails nails were uncut and jagged the resident was unshaved. Resident #32 stated he likes to be shaved. a. On 01/30/24 at 9:08 AM, Resident #32 remained unshaved. Resident #32 stated he likes to be shaved and asked for a shave. b. Resident #32's Care Plan with a revision date of 01/16/24 documented, .ADLs fluctuate a bit d/t [due to] COPD [chronic obstructive pulmonary disease] and dialysis. Personal Hygiene: Combing hair, shaving, washing/drying face, and hands: Resident #32 requires Set up or clean up Assistance . c. Resident #32's Personal Hygiene Sheet documented, .PERSONAL HYGEINE: The ability to maintain personal hygiene, including combing hair, shaving, applying makeup, washing/drying face and hands (excludes baths, showers and oral hygiene) . Resident #32 received…

  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 · E2024-02-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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 a resident had physicians order for oxygen for 1 (Resident #41) of 3 (Residents #41, #10 and #39) Residents who received oxygen as documented on a list provided by the Director of Nursing (DON) on 02/01/24 at 9:05 AM. The findings are: Resident #41 diagnosis of hemiplegia and hemiparesis, non-Hodgkin lymphoma, and peripheral vascular disease. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/01/23 documented a Brief Interview for Mental Status (BIMS) score of 14 (13-15 indicates cognitively intact) and did not receive oxygen therapy. a. A Care Plan with a revision date of 01/08/24 documented, 01/07/2024 Oxygen as ordered/needed for SOB [shortness of breath]. b. Resident #41's Physician Orders, active as of 01/31/24, did not address oxygen therapy. c. On 01/29/24 at 12:21 PM, Resident #41 was receiving oxygen at 2.5 to 3 liters via nasal cannula. The Surveyor asked Resident #41 how much oxygen he was wearing. Resident #41 stated, I am not sure how much oxygen I am on. The…

  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 · E2024-02-01 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 licensed staff had been trained properly to take care of a resident with an enteral feeding tube. The findings are: 1. On 1/31/24 at 1:50 PM, Licensed Practical Nurse (LPN) #1 administered medication through a enteral feeding tube. The nurse failed to check for placement before administering the medication and hydration. The Surveyor asked LPN #1 what process she uses to check placement. LPN #1 stopped administering the flush and said, We do that by pulling back on the syringe. I should have done that. The Surveyor asked what the reason was for checking placement before flushing the enteral feeding tube. LPN #1 said she was not sure what the reason would be, and she cannot remember what the case would be. The Surveyor asked if she ever used a stethoscope to check placement. LPN #1 said, No, we just check by pulling back for residual. The Surveyor asked if she has ever had a enteral feeding tube in-service. She said, No, I never had a tube feeding in-service before. 2. On 1/31/24 at 2:34 PM, the Surveyor…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-01 · tag F0808 — failed to follow doctor-ordered diets — pattern
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to ensure a therapeutic diet was prescribed by the attending physician for 1 (Resident #283) for a pureed diet. The findings are: 1. On 1/30/24 at 11:56 am, Resident #283 received a regular texture diet tray for lunch in the Dining Room. Resident #283 took 2 bites of turkey and dressing before the cook realized Resident #283 had the wrong meal tray. The [NAME] immediately had Certified Nursing Assistant (CNA) #2 remove the tray and later Resident #283 received a puree diet meal tray. 2. On 1/31/24 at 11:16 am, the Surveyor asked CNA #5, how do you know what the proper therapeutic diet is to serve each resident? CNA #5 said the resident diets are in a binder, and I write them down so I can make sure they get the correct tray. 3. On 1/31/24 at 11:19 am, the Surveyor CNA #6 how do you know the correct therapeutic diet for each of the residents. CNA #6 said they have the diets for each resident listed in a binder and I write them down on a piece of paper and I look at it before serving the resident a tray. 4. On 1/31/24 at 1:42pm,…

  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 · E2024-02-01 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement Program (QAPI) Committee developed and implemented appropriate plans of action to prevent repeated deficiencies with revision of Care Plans and ADLs regarding grooming. The failed practice had the potential to affect all 82 residents who resided in the facility as documented on the Daily Census provided by the Administrator on 01/29/24 at 10:30 AM. The findings are: 1. A Recertification Survey was conducted on 12/1/2022 at the facility. During this survey, the team identified concerns with revisions of resident care plans, and ADLs regarding grooming. A review of the facility's Plan of Correction, with a completion date of 1/11/2023, indicated the MDS Coordinator/Designee would monitor: 1. Revision of Care Plans to ensure deficient practice does not recur: On 12-1-22, the Administrator in-serviced MDS Coordinators regarding revision to Care Plan should be completed within 14 days after determining the change in condition. 2. Monitoring: MDS Coordinators/Designee will…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-01 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure residents were fed in a manner at meal service to promote dignity for 2 (Residents #283 and #71) of 1 sampled resident. The findings are: a. On 1/30/24 at 11:52 AM, the first tray was taken to a resident at dining room table. b. On 01/30/24 at 12:07 PM, the Surveyor observed Resident #283 sitting at the dining table without her tray, everyone else was eating at the table. c. On 1/30/24 at 12:16 PM, the Surveyor observed Resident #283 still had no tray and was asking Certified Nursing Assistant (CNA) #2 where is my food, I want to eat too. d. On 1/30/24 at 12:22 PM, Resident #283 received a pureed tray 30 minutes after the other residents had received their trays. e. On 1/31/24 at 11:16 AM, the Surveyor asked CNA #5 why residents who eat at the dining table should be served in sequential order. CNA #5 replied for their dignity. f. On 1/31/24 at 11:19 AM, the Surveyor asked CNA #6 why residents who eat at the dining table should be served in sequential order. CNA #6 replied so food doesn't get cold, and they should be…

  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 · D2024-02-01 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement a procedure to monitor declines in activities of daily living (ADL) of residents to ensure accuracy of resident assessments. This failed process had the potential to affect all 82 residents living in the facility as documented on the Daily Census provided by the Administrator on 01/29/24 at 10:30 AM. The findings are: a. On 01/31/2024 at 12:35 PM, the Surveyor asked Minimum Data Set (MDS) Nurse #1 and MDS Nurse #2 with the recent changes in section GG of the MDS, what process has been implemented to monitor ADL decline in residents. MDS Nurse #1 said they have not implemented a system but, she has been discussing this with physical therapy and was thinking about continuing to fill out the old GG form. b. On 01/31/2024 at 12:40 PM, MDS Nurse #1 provided a blank form titled, Section GG: Three Day Performance Data Collection Tool. The Surveyor asked what tools were available to the MDS nurses to guide them through the MDS process. MDS Nurse #1 said they use the Resident Assessment Instrument (RAI) manual. c. On…

  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 · D2024-02-01 · 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

  Based on record review and interview, the facility failed to ensure a comprehensive care plan was developed to address the necessary monitoring and precautions related to shaving for 1 (Resident #32) of 1 sampled resident. The findings are: 1. On 1/30/2024 at 9:41 AM, Resident #32's Care Plan with a revision date of 01/16/2024 documented, .ADLs fluctuate a bit d/t [due to] COPD [Chronic Obstructive Pulmonary Disease] & dialysis . Personal Hygiene: Combing hair, shaving, washing/drying face, and hands: Resident #32 requires Set up or clean up Assistance . a. On 1/31/2024 at 1:20 PM, the Surveyor asked Certified Nursing Assistant (CNA) #7, how often were residents shaved and who was responsible for shaving? CNA #7 said residents should shave with showers if they want to be shaved. The CNA or beautician will do the shaving. The Surveyor asked why should male and female residents be free from facial hair? CNA #7 said, so residents look good, and it doesn't itch or bother them. The Surveyor asked how often does Resident #32 shave? CNA #7 said that on Wednesdays the beautician will shave…

  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

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

4 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 $7.9M paid to related parties — landlords or management companies under common ownership — equal to about 72% 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