The Green House Cottages of Southern Hills
701 South Main Street, Rison, AR 71665 · Cleveland County · 106 certified beds · avg 82 residents/day · certified since Jan 21, 2003
Part of chain: SOUTHERN ADMINISTRATIVE SERVICES (35 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 30, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 30, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 30, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 30, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 30, 2024 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 30, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 4, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| May 4, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 4, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 10 | 1 | J ▲ |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $39,621.
| Date | Type | Amount / length |
|---|---|---|
| Apr 30, 2024 | Fine | $39,621 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arkansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.74 | 4.71 | 3.95 | top 10% in Arkansas; top 5% in the U.S. |
| Registered Nurse hours | 0.35 | 0.48 | 0.69 | bottom 23% in Arkansas; bottom 15% in the U.S. |
| Weekend total nurse staffing | 5.16 | 4.04 | 3.50 | top 7% in Arkansas; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.28 | 0.48 | bottom 21% in Arkansas; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 34.7 | 49.5 | 45.8 | top 11% in Arkansas; top 23% in the U.S. |
| RN turnover (%) | 55.6 | 44.8 | 42.9 | bottom 38% in Arkansas; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.06, RN 0.31, weekend 4.56. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/10/2019 |
| Alexark1 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Jej Assets LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Jej Management, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Ponthie, Sharlot | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Alexark1 LLC | Organization | General Partnership Interest | NOT APPLICABLE | 02/10/2019 |
| Jej Assets LP | Organization | Limited Partnership Interest | NOT APPLICABLE | 02/10/2019 |
| Phillips, Leslie | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/10/2019 |
| Ponthie, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St Johns Place of Arkansas, LLC | 15.0 mi | Fordyce, AR | ★★★★☆ | 4/5 | |
| Pine Bluff Transitional Care | 16.8 mi | Pine Bluff, AR | ★☆☆☆☆ | 1/5 | SFF |
| Trinity Village Medical Center | 17.1 mi | Pine Bluff, AR | ★★★☆☆ | 3/5 | |
| The Springs of Pine Bluff | 17.2 mi | Pine Bluff, AR | ★★☆☆☆ | 2/5 | |
| The Blossoms at Star City Rehab & Nursing Center | 19.7 mi | Star City, AR | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 045377.