Covington Court Health and Rehabilitation Center
4500 Old Greenwood Rd, Fort Smith, AR 72903 · Sebastian County · 140 certified beds · avg 129 residents/day · certified since Apr 3, 2001
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 · Aug 18, 2023 · 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: Aug 18, 2023 (Past Non-Compliance)
All citations in the current public record (20)
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 |
|---|---|---|
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 1, 2024 | 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. |
| Apr 18, 2024 | E · Potential for harm, repeated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Aug 18, 2023 | ▲ 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 |
| Jul 14, 2023 | 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. |
| Jul 14, 2023 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Jul 14, 2023 | F · Potential for harm, facility-wide | 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. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 14, 2023 | E · Potential for harm, repeated | 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. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 14, 2023 | 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. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 14, 2023 | 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. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jul 14, 2023 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 14, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 14, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 17 | 1 | J ▲ |
| 2024 | 2 | 0 | E |
| 2026 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.97 | 4.71 | 3.95 | top 27% in Arkansas; top 14% in the U.S. |
| Registered Nurse hours | 0.46 | 0.48 | 0.69 | top 44% in Arkansas; bottom 32% in the U.S. |
| Weekend total nurse staffing | 4.10 | 4.04 | 3.50 | top 37% in Arkansas; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.09 | 0.28 | 0.48 | bottom 1% in Arkansas; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 44.1 | 49.5 | 45.8 | top 33% in Arkansas; top 48% in the U.S. |
| RN turnover (%) | 25.0 | 44.8 | 42.9 | top 20% in Arkansas; top 20% 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 4.01, RN 0.37, weekend 3.31. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | 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 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 09/29/1997 |
| Gallagher, Beverly | Individual | Corporate Director | NOT APPLICABLE | 08/21/2023 |
| Gallagher, Beverly | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/21/2023 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Moore, Marcia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/05/2024 |
| Moore, Marcia | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/05/2024 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| 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 |
| White, Holly | Individual | Corporate Director | NOT APPLICABLE | 03/04/2022 |
| White, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/04/2022 |
| Wilson, Dow | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/02/2024 |
| Wilson, Dow | Individual | ADP of the SNF | NOT APPLICABLE | 02/03/2025 |
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?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| The Blossoms at Fort Smith Rehab & Nursing Center | 2.0 mi | Fort Smith, AR | ★☆☆☆☆ | 2/5 | |
| Chapel Ridge Health and Rehab | 2.0 mi | Fort Smith, AR | ★★★★☆ | 3/5 | |
| Riverside Health Services | 2.5 mi | Arkoma, OK | ★☆☆☆☆ | 2/5 | |
| Fianna Hills Nursing and Rehabilitation Center | 2.6 mi | Fort Smith, AR | ★★★☆☆ | 3/5 | |
| Methodist Health and Rehab | 2.8 mi | Fort Smith, AR | ★★★☆☆ | 3/5 | |
| Brooken Hill Health and Rehab, LLC | 2.9 mi | Fort Smith, AR | ★★★☆☆ | 3/5 | |
| Ashton Place Health and Rehab, LLC | 4.5 mi | Barling, AR | ★★★★☆ | 4/5 | |
| Legacy Health and Rehabilitation Center | 5.0 mi | Fort Smith, AR | ★★☆☆☆ | 2/5 | |
| Pocola Health and Rehab | 6.9 mi | Pocola, OK | ★☆☆☆☆ | 2/5 | abuse |
| The Blossoms at Van Buren Rehab and Nursing Center | 7.3 mi | Van Buren, AR | ★☆☆☆☆ | 1/5 | |
| Sequoyah East Nursing Center, LLC | 7.5 mi | Roland, OK | ★☆☆☆☆ | 1/5 | |
| Valley Springs Rehabilitation and Health Center | 8.4 mi | Van Buren, AR | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 045363.