nursing home in Fort Smith, AR
Legacy Health and Rehabilitation Center
3310 North 50th Street, Fort Smith, AR 72904 · (479) 783-3101
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy Health and Rehabilitation Center at a glance
Legacy Health and Rehabilitation Center is a 115-bed for-profit nursing home in Fort Smith, Arkansas (Sebastian County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Arkansas average of 3.4.
Residents receive about 3.6 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (January 31, 2025) found 5 health citations. The Arkansas average is 2.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 43% per year (state average 49.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 115
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nhs Management
- Medicare-certified since
- January 1, 1995
- Resident/family council
- Resident
- County
- Sebastian County
- CMS Certification Number
- 045267
Ratings
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.4 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4.2 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.60 hrs | 4.02 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.41 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.52 hrs | 2.67 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.23 hrs | 3.45 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 43% | 49.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 44.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 50 | 39.8 | 80.6 | Better |
Penalties
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $9,209 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 115 | 109 | 107 | |
| Average residents per day | 104 | 77 | 86 | |
| Occupancy | 90.2% | 71.1% | 80.9% |
Long-stay residents
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.3% | 3.9% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 19.3% | 10.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.8% | 9.5% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.3% | 10.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.8% | 4.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 1.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 28.2% | 21.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 6.5% | 13.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.4% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 71.2% | 95.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.5% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 76.5% | 77.7% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 64.2% | 82% | 82% | Worse |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 31, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected March 2, 2025 |
| January 31, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 2, 2025 |
| January 31, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 2, 2025 |
| January 31, 2025 Fire safety | Have an alternate power supply for its alarm system. Smoke Deficiencies · Tag K0344 | E Potential harm, pattern | Corrected March 2, 2025 |
| January 31, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 2, 2025 |
| January 31, 2025 Standard | 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 · Tag F0803 | E Potential harm, pattern | Corrected March 2, 2025 |
| January 31, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected March 2, 2025 |
| January 31, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 2, 2025 |
| January 31, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected March 2, 2025 |
| January 31, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 2, 2025 |
| January 31, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected March 2, 2025 |
| January 31, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 2, 2025 |
| March 21, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 21, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 21, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 21, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected April 20, 2024 |
| March 21, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 20, 2024 |
| December 30, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 7, 2023 |
| December 30, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 7, 2023 |
| December 30, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 7, 2023 |
| December 30, 2022 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | E Potential harm, pattern | Corrected February 7, 2023 |
| December 30, 2022 Standard | 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 · Tag F0803 | D Potential harm, isolated | Corrected February 7, 2023 |
| December 30, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 7, 2023 |
| December 30, 2022 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected February 7, 2023 |
| December 30, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ESTES, JAMES Individual | 5% or greater direct ownership interest | 92% | 12/31/2003 |
| JAMES NORMAN ESTES JR TR Organization | 5% or greater direct ownership interest | — | 12/31/2006 |
| JENNIFER LEE ESTES TR 031093 Organization | 5% or greater direct ownership interest | — | 12/31/2006 |
| REGIONS BANK Organization | 5% or greater security interest | NOT APPLICABLE | 08/27/2013 |
| TAYLOR, JAMIE Individual | adp of the snf | NOT APPLICABLE | 02/03/2025 |
| GALLAGHER, BEVERLY Individual | corporate director | NOT APPLICABLE | 08/21/2023 |
| RASCO, LYNN Individual | corporate director | NOT APPLICABLE | 07/01/2022 |
| WHITE, HOLLY Individual | corporate director | NOT APPLICABLE | 03/04/2022 |
| ESTES, JAMES Individual | corporate officer | NOT APPLICABLE | 09/29/1997 |
| LONG, PHILLIP Individual | corporate officer | NOT APPLICABLE | 10/01/2019 |
| GALLAGHER, BEVERLY Individual | managing control - governing body | NOT APPLICABLE | 08/21/2023 |
| MOORE, MARCIA Individual | managing control - governing body | NOT APPLICABLE | 08/05/2024 |
| GALLAGHER, BEVERLY Individual | operational/managerial control | NOT APPLICABLE | 08/21/2023 |
| MOORE, MARCIA Individual | operational/managerial control | NOT APPLICABLE | 08/05/2024 |
| RASCO, LYNN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| TAYLOR, JAMIE Individual | operational/managerial control | NOT APPLICABLE | 09/02/2024 |
| WHITE, HOLLY Individual | operational/managerial control | NOT APPLICABLE | 03/04/2022 |
Other nursing homes near Legacy Health and Rehabilitation Center
The Blossoms at Van Buren Rehab and Nursing Center
2010 Main Street, Van Buren, AR 72956 · 2.7 mi
For-profit · 129 beds · Part of The Blossoms Rehab & Nursing Center
★★★★★1Much below averageChapel Ridge Health and Rehab
4623 Rogers Ave, Fort Smith, AR 72903 · 3 mi
For-profit · 74 beds · Part of Central Arkansas Nursing Centers
★★★★★4Above averageValley Springs Rehabilitation and Health Center
228 Pointer Trail West, Van Buren, AR 72956 · 3.4 mi
For-profit · 105 beds · Part of Southern Administrative Services
★★★★★4Above average- ★★★★★3Average
Van Buren Healthcare and Rehabilitation Center
1404 North 28th Street, Van Buren, AR 72956 · 4.1 mi
For-profit · 140 beds · Part of Stein LTC
- CMS high performer
★★★★★5Much above averageCovington Court Health and Rehabilitation Center
4500 Old Greenwood Rd, Fort Smith, AR 72903 · 5 mi
For-profit · 140 beds · Part of Nhs Management
★★★★★5Much above average
Frequently asked questions
What is Legacy Health and Rehabilitation Center's rating?
Legacy Health and Rehabilitation Center has 2 out of 5 stars on the CMS overall star rating. The average for Arkansas nursing homes is 3.4 stars.
How many inspection citations did Legacy Health and Rehabilitation Center receive?
Its most recent standard health inspection found 5 citations, compared with a Arkansas average of 2.7. Every citation is listed on this page with its severity.
Does Legacy Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy Health and Rehabilitation Center?
It is for profit - limited liability company and part of Nhs Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy Health and Rehabilitation Center and how do I contact it?
Legacy Health and Rehabilitation Center is at 3310 North 50th Street, Fort Smith, AR 72904. Phone: (479) 783-3101.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.