The Green House Cottages of Southern Hills

    701 Main St, Rison, AR, 71665
    3.5 · 17 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful facility but safety concerns

    I'm torn: the facility is new and beautiful, with private rooms/baths, open kitchens, home-cooked meals, active socials, an RN on staff, and a genuinely welcoming, family-focused team. Still, I've seen (and heard reports of) chronic understaffing, slow responses, caregiver neglect and safety incidents - including falls, a dropped patient and a reported death after surgery - plus mixed cleanliness/odor issues. If you value atmosphere and communication it's excellent; if safety and consistent staffing are your top concerns, be cautious and stay involved.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.53 · 17 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.4
    • Meals

      5.0
    • Amenities

      4.8
    • Value

      3.5

    Pros

    • Welcoming, resident-focused staff
    • Caring Director of Nursing (DON) and Assistant DON
    • Green House small-house model and philosophies
    • Alzheimer's/dementia care training noted
    • Private bedrooms with private bathrooms
    • Home-cooked meals and open kitchen/dining areas
    • Spacious, newly-built cottages
    • Family involvement and strong family communication
    • Regular social events and activities
    • RN on staff and proactive health monitoring
    • CNAs who also cook and provide hands-on caregiving
    • Clean, attractive facility in many reviews

    Cons

    • Serious safety incidents reported (falls, dropped residents, and a death after post-op recovery)
    • Understaffing and nurse shortages (including reduced night staffing)
    • Caregiver neglect or inadequate assistance on some shifts
    • Unprofessional behavior reported (e.g., staff bringing children to work area)
    • Instances of poor clinical responsiveness (refusal of x-rays, delayed transfers)
    • Inconsistent care quality between shifts and cottages
    • Reports of strong urine/feces odor and poor cleanliness in some reviews
    • Distrust and alarm from family members due to past incidents
    • High cost and concerns about Medicaid acceptance/policy
    • Placement complexity and confusion about facility location (Rison vs Sheridan)
    • Patient found in extreme pain or unable to move in some accounts
    • Possible overextension of CNAs' roles (cooking + caregiving)

    Summary review

    Overall sentiment across the reviews is mixed but polarized: many families and reviewers praise The Green House Cottages of Southern Hills for its physical environment, Green House model, and the genuinely warm, resident-focused attitude of many staff members, while a smaller but serious subset of reviews reports major safety and care failures that raise significant concerns.

    Facility and model: Multiple reviewers consistently describe the campus as recently built, attractive, and designed around the Green House small-house model. The cottages are described as spacious, home-like, and family-friendly with private bedrooms and private bathrooms, open kitchens, dining areas where families can join for meals, flat-screen TVs, and an overall non-institutional feel. Several reviewers emphasize that the environment feels like a home rather than a traditional nursing facility, and that regular social events and gatherings are held, contributing to a lively, non-gloomy atmosphere.

    Staff and culture: Many reviews highlight warm, welcoming staff and leadership, with particular praise for the Director of Nursing (DON) and Assistant DON being caring and resident-first. CNAs are often described as attentive, doing both caregiving and cooking, and families report strong communication from staff. Reviewers also note that there is an RN on staff and that preventive health monitoring takes place. Training in Alzheimer's/dementia care and alignment with Green House philosophies are mentioned as positive cultural elements.

    Dining and activities: Home-cooked meals and family-involved dining are repeatedly praised; reviewers describe food that feels like home cooking rather than institutional fare. Activities and social events are mentioned frequently as strengths, supporting residents’ social engagement and contributing to an overall positive daily life within the cottages.

    Clinical quality, safety and serious concerns: Despite many positive comments, several reviews describe deeply disturbing clinical and safety incidents. Specific allegations include understaffing (for example, shifts with only one nurse instead of two), a caregiver dropping a resident resulting in leg swelling, residents found unable to move or in extreme pain, a report of a patient who deteriorated after hip surgery recovery and was later found deceased after apparent delays/transfers, refusal of clinical requests such as x-rays in at least one account, and instances of residents being left face down or otherwise inadequately assisted. One review reports unprofessional behavior such as a night-shift nurse bringing a child into the sitting area. These incidents create a pattern of serious lapses in some cases — not broad, uniform complaints, but severe failures when they occur.

    Patterns and variability: The reviews reflect a pronounced variability in experience. Many families report excellent care, cleanliness, and strong communication; others recount neglect, safety events, or poor responsiveness. This suggests inconsistent performance across shifts, cottages, or time periods — reviewers often connect the negative events to understaffing and shift-level issues. Cleanliness is another mixed theme: while many state the cottages are clean with no odor, there are repeated comments from some reviewers about strong urine/feces odor and poor cleanliness in certain situations.

    Management, policies, and logistics: A few reviewers mention administrative or logistical concerns, including higher cost and worry about Medicaid policies or acceptance, and confusion about the facility's precise location (Rison vs Sheridan). Families who experienced problems expressed distrust and concern about how management handled incidents, transfers, and clinical escalation decisions.

    Conclusion and implications: The Green House Cottages of Southern Hills receives strong praise for its physical environment, Green House model, family-friendly dining and activities, and for many staff members who provide warm, resident-focused care. However, the presence of multiple reports of serious safety incidents, alleged neglect, staffing shortages, and inconsistent clinical responsiveness are significant red flags. The overall picture is of a facility with many strengths that may be undermined by inconsistent staffing or management practices at certain times. Prospective residents and families should weigh both the highly positive reports about environment and staff culture and the reports of severe adverse incidents when making placement decisions, and should seek clear, current information about staffing levels, clinical oversight, incident reporting, transfer policies, cleanliness protocols, and Medicaid/financial policies to confirm whether the facility consistently meets safety and care expectations.

    Location

    Map showing location of The Green House Cottages of Southern Hills

    About The Green House Cottages of Southern Hills

    The Green House Cottages of Southern Hills is a skilled nursing facility that follows the Green House® model, so you'll find seven small cottages instead of one big building, each with twelve private bedrooms, their own bathrooms with walk-in showers and handrails, and a care team that stays with the same residents to help keep things familiar and comfortable, aiming for dignity and choice above all else. Each cottage looks and feels like a real home, with a full kitchen, a big dining table, cozy living rooms, comfortable furniture for visitors, a covered patio, and a fenced yard, plus there's plenty of room for family to visit and for residents to relax in common areas, the library, or outside on walking paths and gardens. Nurses and staff provide care twenty-four hours a day, helping with bathing, dressing, medication, transfers, non-ambulatory care, and personal care plans, and there are safety features like locked medicine cabinets, climate-controlled rooms, and an emergency alert system. Every room comes with Wi-Fi, cable TV, air conditioning, and good storage space, plus hospital-grade adjustable beds for comfort.

    There's a focus on high-level medical care with licensed nurses and therapists always available, so residents can get wound care, physical, speech, or occupational therapy, post-surgical recovery, neuro-rehab, hospice, and respite care, and there's access to medical services like mobile X-ray, labs, and medical transportation. The staff helps with rehab after injury or surgery, and there's support for both short-term recovery and long-term elder care, with plans made around each person's needs and preferences, and they accept both Medicare and Medicaid. For meals, residents can choose how and with whom they want to eat in their cottage's family-style dining area, with food prepared by chefs and nutritionists, and special diets available. In addition to help with housekeeping, laundry, and concierge services, the staff also arranges transportation for activities or appointments and offers family support services.

    Daily life includes lots of activities, like arts and crafts, music therapy, brain games, gardening, pet visits, intergenerational programs, movie nights, cooking and baking, religious or spiritual support near Bethel No. 1 MBC, fitness rooms, reading areas, and organized social events, as well as beauty and barber services, and community-sponsored celebrations. The setting tries to avoid feeling like a typical nursing home and instead gives each elder privacy, community, and a sense of home, with small cottage living, friendly and familiar staff, and a careful focus on safety, health, and everyday choices.

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