The Green House Cottages of Belle Meade
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 54 Google reviews

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What this means for your family
The facility is highly praised for its home-like atmosphere and compassionate staff, making it an excellent choice for those prioritizing a non-institutional feel. While the vast majority of feedback is glowing, families should observe staff-resident interactions during tours to ensure the high standard of communication reported by most families is consistent.
Google Reviews
Google Reviews
54 reviews on Google“The Green House Cottages of Belle Meade is highly regarded for its unique, home-like environment that deviates from traditional institutional nursing home settings. Families consistently praise the compassionate, attentive staff and the facility's ability to provide personalized, dignified care for both long-term residents and rehab patients.”
Quality Themes
Tap a score for detailsStrengths
- Home-like, non-institutional environment
- Compassionate and attentive nursing staff
- Effective and dedicated rehabilitation team
- Clean and well-maintained facilities
Concerns
- Unprofessional communication or staff behavior during interactions
Rating Trends
Tap a year to see what changed
Distribution · 56 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the Green House model's focus on a home-like environment, how do you foster a consistent sense of community and daily engagement for residents outside of scheduled activities?
- 2I noticed the facility has had some recent health inspection findings; could you walk me through the specific steps the leadership team is taking to address those areas and improve the overall rating?
- 3With a strong staffing rating, how do you ensure that the nursing team maintains consistent, professional communication with family members regarding their loved one's care?
- 4How does your rehabilitation team coordinate with the nursing staff to ensure that the recovery plans are seamlessly integrated into the resident's daily routine?
- 5In the event of a medical emergency, what is the standard protocol for notifying family members, and how do you ensure that information is communicated clearly and promptly?
- 6Since the facility has a very high Google rating, how do you gather and act on feedback from families to ensure that the quality of care remains consistently high?
Personalized based on this facility's data
Key Review Excerpts
“This was truly a non-traditional nursing home in the best way. The environment felt more like a home than a facility, and the staff treated my mother as a person, not just a patient.”
“My dad came here for rehab after hospital stay. They had him up and moving fast. He’s 94 and says he will come back again.”
“My grandma was at Belle Meade in 2024 and I could not have asked for a better place for her. The staff were attentive and she received the best care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents who fell and were seriously hurt
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
One family filed a complaint about accident hazards and supervision, which was corrected in December 2024. The facility shows recurring issues across nutrition and dietary services, infection control, and accident prevention, with all deficiencies reportedly corrected by the facility. Problems appear to persist across multiple surveys from 2023-2025, suggesting ongoing challenges in these core care areas that families should discuss during visits.
Aug 1, 2025Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 19, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 25, 2024Routine4
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Feb 3, 2023Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
Federal Penalties
Fine
Dec 19, 2024
$13,870
Ownership & Operations
Who Operates This Facility
The Green House Cottages of Belle Meade
for profit
Chain Affiliation
Southern Administrative Services
35 facilities nationwide
Chain avg rating: 3.6/5 · Rank 24 of 35
Ownership & Management
Owners
4p2t1 Ops Holding Lp
Owner · Organization
Alexark1 LLC
Owner (parent company) · Organization
Jej Assets Lp
Owner (parent company) · Organization
Jej Management, LLC
Owner (parent company) · Organization
Ponthie, Sharlot
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
54 reviews from families & visitors
Official Website
Visit bellemeadecottages.com
Medicare data downloads
Original nursing home datasets
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