Legacy Health and Rehabilitation Center

Name: Legacy Health and Rehabilitation Center
Address: 3310 NORTH 50TH STREET, Fort Smith, AR, 72904, US
Telephone: 4797833101

3310 North 50th Street, Fort Smith, AR 72904 · Sebastian County · 115 certified beds · avg 104 residents/day · certified since Jan 1, 1995

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

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.60

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (34)

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
Jan 31, 2025	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.
Jan 31, 2025	E · Potential for harm, repeated	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.
Jan 31, 2025	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.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Jan 31, 2025	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 31, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jan 31, 2025	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. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	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. · from a complaint
Mar 21, 2024	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.
Mar 21, 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.
Mar 21, 2024	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 21, 2024	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Mar 21, 2024	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. · from a complaint
Mar 21, 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.
Mar 21, 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. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	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.
Mar 21, 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. · from a complaint
Dec 30, 2022	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.
Dec 30, 2022	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.
Dec 30, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 30, 2022	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.
Dec 30, 2022	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.
Dec 30, 2022	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Dec 30, 2022	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.
Dec 30, 2022	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 30, 2022	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.
Dec 30, 2022	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 30, 2022	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Dec 30, 2022	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.
Dec 30, 2022	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.
Dec 30, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 5).

Year	Citations	Worst severity that year
2022	14	F
2024	12	E
2025	8	E

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)	4.60	4.71	3.95	top 48% in Arkansas; top 21% in the U.S.
Registered Nurse hours	0.32	0.48	0.69	bottom 18% in Arkansas; bottom 12% in the U.S.
Weekend total nurse staffing	4.13	4.04	3.50	top 35% in Arkansas; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.28	0.48	bottom 14% in Arkansas; bottom 5% in the U.S.
Total nursing staff turnover (%)	43.0	49.5	45.8	top 29% in Arkansas; top 44% in the U.S.
RN turnover (%)	55.6	44.8	42.9	bottom 38% in Arkansas; bottom 28% 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 3.60, RN 0.25, weekend 3.23. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

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	Managing Control - Governing Body	NOT APPLICABLE	08/21/2023
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
Taylor, Jamie	Individual	Operational/Managerial Control	NOT APPLICABLE	09/02/2024
Taylor, Jamie	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2025
White, Holly	Individual	Corporate Director	NOT APPLICABLE	03/04/2022
White, Holly	Individual	Operational/Managerial Control	NOT APPLICABLE	03/04/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"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
The Blossoms at Van Buren Rehab and Nursing Center	2.7 mi	Van Buren, AR	★☆☆☆☆	1/5
Chapel Ridge Health and Rehab	3.0 mi	Fort Smith, AR	★★★★☆	3/5
Valley Springs Rehabilitation and Health Center	3.4 mi	Van Buren, AR	★★★★☆	3/5
Methodist Health and Rehab	3.6 mi	Fort Smith, AR	★★★☆☆	3/5
Van Buren Healthcare and Rehabilitation Center	4.1 mi	Van Buren, AR	★★★★★	5/5
Covington Court Health and Rehabilitation Center	5.0 mi	Fort Smith, AR	★★★★☆	4/5
Riverside Health Services	5.2 mi	Arkoma, OK	★☆☆☆☆	2/5
The Blossoms at Fort Smith Rehab & Nursing Center	6.1 mi	Fort Smith, AR	★☆☆☆☆	2/5
Ashton Place Health and Rehab, LLC	6.7 mi	Barling, AR	★★★★☆	4/5
Sequoyah East Nursing Center, LLC	6.8 mi	Roland, OK	★☆☆☆☆	1/5
Fianna Hills Nursing and Rehabilitation Center	7.6 mi	Fort Smith, AR	★★★☆☆	3/5
Brooken Hill Health and Rehab, LLC	7.8 mi	Fort Smith, AR	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Fort Smith →

Facility data as of CMS processing date 2026-08-01. CCN 045267.

The Care File

Visit checklist — Legacy Health and Rehabilitation Center

3310 North 50th Street, Fort Smith, AR 72904 · 4797833101

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "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 045267 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)