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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeArkansasLegacy Health and Rehabilitation Center

Legacy Health and Rehabilitation Center

3310 North 50th Street, Fort Smith, AR 729044797833101
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
2/5
Beds
115
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 115 certified beds with an average of 108.9 residents per day (95% occupancy)

• Last health inspection found 5 deficiencies (inspected Jan 31, 2025)

• No fines on record

• Total nursing staff: 3.86 hours per resident per day

• Staff turnover rate: 49.1%

• Part of the Nhs Management chain (43 facilities)

Legacy Health and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Fort Smith, Arkansas with 115 certified beds. It has been operating since 1995. The facility scored below average compared to Arkansas facilities.

Beds
115
Avg Residents/Day
108.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1995
Sprinklers
Yes
Council
Resident
County
Sebastian
Last Inspection
Jan 31, 2025
Deficiencies (Cycle 1)
5
Weighted Score
56.0
Infection Citations
0

Deficiency Citations (37)

F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jan 31, 2025Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Jan 31, 2025Corrected: NoCycle: 1
F0808Potential for Harm

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Survey: Jan 31, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 31, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 31, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Jun 21, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 2, 2023Corrected: NoCycle: 3
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Mar 9, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 30, 2022Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 30, 2022Corrected: NoCycle: 3
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Dec 30, 2022Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 30, 2022Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 30, 2022Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 30, 2022Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Dec 30, 2022Corrected: NoCycle: 3

+ 7 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.79 hrs
National avg: 2.35 hrs
LPN0.69 hrs
National avg: 0.86 hrs
RN0.37 hrs
National avg: 0.68 hrs
Total Nursing3.86 hrs
National avg: 3.89 hrs
Weekend Total3.46 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
49.1%
RN Turnover
50.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
JAMES NORMAN ESTES JR TR5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 31, 2006
JENNIFER LEE ESTES TR 0310935% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 31, 2006
ESTES, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual92%Dec 31, 2003
GALLAGHER, BEVERLYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 21, 2023
MOORE, MARCIAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 5, 2024
RASCO, LYNNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2022
TAYLOR, JAMIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 2, 2024
WHITE, HOLLYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 4, 2022
GALLAGHER, BEVERLYCORPORATE DIRECTORIndividualN/AAug 21, 2023
RASCO, LYNNCORPORATE DIRECTORIndividualN/AJul 1, 2022
WHITE, HOLLYCORPORATE DIRECTORIndividualN/AMar 4, 2022
ESTES, JAMESCORPORATE OFFICERIndividualN/ASep 29, 1997
LONG, PHILLIPCORPORATE OFFICERIndividualN/AOct 1, 2019
REGIONS BANK5% OR GREATER SECURITY INTERESTOrganizationN/AAug 27, 2013

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Brooken Hill Health and Rehab, LLC

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Frequently Asked Questions

What is the CMS rating for Legacy Health and Rehabilitation Center?▾
Legacy Health and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Legacy Health and Rehabilitation Center had any health inspection violations?▾
Legacy Health and Rehabilitation Center had 5 deficiency citations in its most recent health inspection (Jan 31, 2025). The facility has no fines on record.
What are the staffing levels at Legacy Health and Rehabilitation Center?▾
Legacy Health and Rehabilitation Center provides 3.86 total nursing staff hours per resident per day, including 0.37 RN hours, 0.69 LPN hours, and 2.79 nurse aide hours. The total staff turnover rate is 49.1%.
How many beds does Legacy Health and Rehabilitation Center have?▾
Legacy Health and Rehabilitation Center has 115 certified beds with an average of 108.9 residents per day, resulting in approximately 95% occupancy. The facility is For profit - Limited Liability company owned and is part of the Nhs Management chain.
Are there other nursing homes near Legacy Health and Rehabilitation Center?▾
Yes, there are 6 other nursing homes in Fort Smith, Arkansas with an average rating of 3.3/5. You can compare all facilities on the Fort Smith nursing homes page.

Part of Nhs Management

This chain operates 43 facilities. View all →