Fayetteville Health and Rehabilitation Center

Name: Fayetteville Health and Rehabilitation Center
Address: 3100 OLD MISSOURI RD, Fayetteville, AR, 72703, US
Telephone: 4795214353

3100 Old Missouri Rd, Fayetteville, AR 72703 · Washington County · 140 certified beds · avg 120 residents/day · certified since Dec 1, 1993

Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.63

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

All citations in the current public record (29)

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
Nov 21, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Nov 21, 2025	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.
Nov 21, 2025	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. · from a complaint
Nov 21, 2025	D · Potential for harm, one-off	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.
Jun 27, 2024	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.
Jun 27, 2024	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.
Jun 27, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 27, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 27, 2024	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.
Jun 27, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jun 27, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 27, 2024	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.
Jun 27, 2024	E · Potential for harm, repeated	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.
Jun 27, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jun 27, 2024	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.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jun 27, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 27, 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.
Jun 27, 2024	D · Potential for harm, one-off	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.
May 26, 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.
May 26, 2023	E · Potential for harm, repeated	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.
May 26, 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.
May 26, 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.
May 26, 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.
May 26, 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.
May 26, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
May 26, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
May 26, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 26, 2023	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 3).

Year	Citations	Worst severity that year
2023	10	F
2024	15	F
2025	4	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)	4.63	4.71	3.95	top 45% in Arkansas; top 20% in the U.S.
Registered Nurse hours	0.17	0.48	0.69	bottom 1% in Arkansas; bottom 1% in the U.S.
Weekend total nurse staffing	4.01	4.04	3.50	top 43% in Arkansas; top 22% 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 (%)	40.0	49.5	45.8	top 20% in Arkansas; top 36% in the U.S.
RN turnover (%)	83.3	44.8	42.9	bottom 4% in Arkansas; bottom 4% 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 3.55, RN 0.13, weekend 3.07. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

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 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
White, Jesse	Individual	Operational/Managerial Control	NOT APPLICABLE	01/03/2023
White, Jesse	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.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"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
Butterfield Trail Village	0.8 mi	Fayetteville, AR	★★★☆☆	3/5
North Hills Life Care and Rehab	1.2 mi	Fayetteville, AR	★★★★★	5/5
Arkansas Veterans Home at Fayetteville	2.4 mi	Fayetteville, AR	★★☆☆☆	2/5
Edgewood Health and Rehab	3.2 mi	Springdale, AR	★★★★★	4/5
Westwood Health and Rehab, INC	4.8 mi	Springdale, AR	★★☆☆☆	1/5
Springdale Health and Rehabilitation Center	5.5 mi	Springdale, AR	★★☆☆☆	2/5
Katherine's Place at Wedington	5.6 mi	Fayetteville, AR	★★★★☆	3/5
The Maples at Har-Ber Meadows	6.2 mi	Springdale, AR	★★★★★	4/5
Windcrest Health and Rehab INC	6.7 mi	Springdale, AR	★★★☆☆	2/5
Shiloh Nursing and Rehab, LLC	7.8 mi	Springdale, AR	★★★★★	4/5
Rogers Health and Rehabilitation Center	14.0 mi	Rogers, AR	★★★☆☆	2/5
Jamestown Nursing and Rehab, LLC	14.1 mi	Rogers, AR	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Fayetteville →

Facility data as of CMS processing date 2026-08-01. CCN 045220.

The Care File

Visit checklist — Fayetteville Health and Rehabilitation Center

3100 Old Missouri Rd, Fayetteville, AR 72703 · 4795214353

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 045220 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)