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Covington Court Health and Rehabilitation Center
4500 Old Greenwood Rd, Fort Smith, AR 72903 (opens Google Maps) · Sebastian County · (479) 646-5700· 140 certified beds · avg 129 residents/day · certified since Apr 3, 2001 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
inspected Mar 12, 2026
1
Serious findings on record
most recent Aug 18, 2023
$0
Fines, last 3 years
4.97
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 18, 2023 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
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. F-0656
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
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 F-0557
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 18, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0557 |
| Aug 18, 2023 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Jul 14, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 14, 2023 | F · Potential for more than minimal harm, widespread | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835 |
| Jul 14, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0695 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0805 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0809 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
All citationsSerious citations (G–L)
2023
All citations: 17
Serious citations (G–L): 1
2024
All citations: 2
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityArkansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.97
Arkansas average: 4.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.46
Arkansas average: 0.48
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.10
Arkansas average: 4.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.01 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Covington Court Health and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain NHS Management — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Fayetteville Health and Rehabilitation Center — Fayetteville, AR · overall 3/5
- Legacy Health and Rehabilitation Center — Fort Smith, AR · overall 2/5
- Paris Health and Rehabilitation Center — Paris, AR · overall 4/5
- Springdale Health and Rehabilitation Center — Springdale, AR · overall 2/5
- Crystal River Health and Rehabilitation Center — Crystal River, FL · overall 4/5
- Daytona Beach Health and Rehabilitation Center — Daytona Beach, FL · overall 5/5
- Ocala Health and Rehabilitation Center — Ocala, FL · overall 4/5
- St Augustine Health and Rehabilitation Center — Saint Augustine, FL · overall 1/5abuse
Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 17 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 16 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 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Sebastian, AR — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Pink Bud Home for the Golden Years — Greenwood, AR · overall 1/5SFF
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 045363.
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