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Legacy Health and Rehabilitation Center
3310 North 50th Street, Fort Smith, AR 72904 (opens Google Maps) · Sebastian County · (479) 783-3101· 115 certified beds · avg 104 residents/day · certified since Jan 1, 1995 · 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★)
2/5
Health inspection rating (on-site)
inspected Jan 31, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.60
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: ★★☆☆☆2/5 · CMS overall rating: 2/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 34 inspection findings. Open the full record below to read every finding.
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. F-0803
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
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
View all 34 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 |
|---|---|---|
| Jan 31, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Jan 31, 2025 | E · Potential for more than minimal harm, pattern | 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 |
| Jan 31, 2025 | E · Potential for more than minimal harm, pattern | 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 |
| Jan 31, 2025 | D · Potential for more than minimal harm, isolated | 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 |
| Jan 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0808 |
| Jan 31, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0600 |
| Jan 31, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0602 |
| Jan 31, 2025 | 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. · from a complaint · F-0689 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0656 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0690 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0726 |
| Mar 21, 2024 | 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. · from a complaint · F-0755 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Mar 21, 2024 | 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. · from a complaint · F-0921 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0947 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Mar 21, 2024 | 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 |
| Mar 21, 2024 | 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. · from a complaint · F-0550 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 30, 2022 | E · Potential for more than minimal harm, pattern | 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 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Dec 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | 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 |
| Dec 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0803 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
All citationsSerious citations (G–L)
2022
All citations: 14
Serious citations (G–L): 0
2024
All citations: 12
Serious citations (G–L): 0
2025
All citations: 8
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 |
|---|---|---|---|
| 2022 | 14 | 0 | F |
| 2024 | 12 | 0 | E |
| 2025 | 8 | 0 | 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)
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: 4.60
Arkansas average: 4.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.32
Arkansas average: 0.48
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.13
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) | 4.60 | 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 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 3.60, RN 0.25, weekend 3.23.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.60 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Legacy 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 | 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 |
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.
- 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
- West Melbourne Health & Rehabilitation Center — West Melbourne, FL · overall 2/5
- Ashland Place Health and Rehabilitation, LLC — Mobile, AL · overall 3/5
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.
- "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?"
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 43% 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 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 →
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 045267.