nursing home in Fort Smith, AR
Covington Court Health and Rehabilitation Center
4500 Old Greenwood Rd, Fort Smith, AR 72903 · (479) 646-5700
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Covington Court Health and Rehabilitation Center at a glance
Covington Court Health and Rehabilitation Center is a 140-bed for-profit nursing home in Fort Smith, Arkansas (Sebastian County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Arkansas average of 3.4.
Residents receive about 4 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (March 12, 2026) found 1 health citation. The Arkansas average is 2.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 44.1% per year (state average 49.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nhs Management
- Medicare-certified since
- April 3, 2001
- Resident/family council
- Resident
- County
- Sebastian County
- CMS Certification Number
- 045363
Ratings
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.4 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.2 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.01 hrs | 4.02 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.41 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.82 hrs | 2.67 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.31 hrs | 3.45 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 44.1% | 49.5% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 25% | 44.8% | 42.9% | Better |
| 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) | 1 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 6 | 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 | 140 | 109 | 107 | |
| Average residents per day | 129 | 77 | 86 | |
| Occupancy | 92.2% | 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) | 1.9% | 3.9% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.1% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.3% | 10.9% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.2% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 0.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 9.5% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.2% | 10.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.3% | 4.3% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 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) | 27.6% | 21.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.8% | 13.5% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 98.2% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 95.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.2% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 85.6% | 77.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.2% | 82% | 82% | Better |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 12, 2026 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected April 10, 2026 |
| March 12, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 12, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 12, 2026 Fire safety | Have an alternate power supply for its alarm system. Smoke Deficiencies · Tag K0344 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 12, 2026 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 April 10, 2026 |
| August 1, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 30, 2024 |
| April 18, 2024 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected May 17, 2024 |
| July 14, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected August 13, 2023 |
| July 14, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected August 13, 2023 |
| July 14, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected August 13, 2023 |
| July 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected August 13, 2023 |
| July 14, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 Standard | 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 August 13, 2023 |
| July 14, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 13, 2023 |
| July 14, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 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 August 13, 2023 |
| July 14, 2023 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 | D Potential harm, isolated | Corrected August 13, 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 mortgage interest | NOT APPLICABLE | 05/31/2007 |
| REGIONS BANK Organization | 5% or greater security interest | NOT APPLICABLE | 08/27/2013 |
| WILSON, DOW 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 |
| 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 |
| WHITE, HOLLY Individual | operational/managerial control | NOT APPLICABLE | 03/04/2022 |
| WILSON, DOW Individual | operational/managerial control | NOT APPLICABLE | 08/02/2024 |
Other nursing homes near Covington Court Health and Rehabilitation Center
The Blossoms at Fort Smith Rehab & Nursing Center
5301 Wheeler Avenue, Fort Smith, AR 72901 · 2 mi
For-profit · 130 beds · Part of The Blossoms Rehab & Nursing Center
★★★★★1Much below averageChapel Ridge Health and Rehab
4623 Rogers Ave, Fort Smith, AR 72903 · 2 mi
For-profit · 74 beds · Part of Central Arkansas Nursing Centers
★★★★★4Above average- ★★★★★1Much below average
Fianna Hills Nursing and Rehabilitation Center
8411 South 28th Street, Fort Smith, AR 72908 · 2.6 mi
For-profit · 102 beds
★★★★★3Average- ★★★★★3Average
Brooken Hill Health and Rehab, LLC
9000 Hwy 71 South, Fort Smith, AR 72908 · 2.9 mi
For-profit · 125 beds · Part of Central Arkansas Nursing Centers
★★★★★3Average
Frequently asked questions
What is Covington Court Health and Rehabilitation Center's rating?
Covington Court Health and Rehabilitation Center has 5 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 Covington Court Health and Rehabilitation Center receive?
Its most recent standard health inspection found 1 citation, compared with a Arkansas average of 2.7. Every citation is listed on this page with its severity.
Does Covington Court 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 Covington Court 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 Covington Court Health and Rehabilitation Center and how do I contact it?
Covington Court Health and Rehabilitation Center is at 4500 Old Greenwood Rd, Fort Smith, AR 72903. Phone: (479) 646-5700.
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.