C75

LEGACY HEALTH AND REHABILITATION CENTER

Grade C 75/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

115

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

3310 NORTH 50TH STREET, FORT SMITH, AR 72904
4797833101

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.47h
LPN
0.87h
CNA
3.53h
Total
4.88h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

JAMES NORMAN ESTES JR TR

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2006

JENNIFER LEE ESTES TR 031093

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2006

ESTES, JAMES

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2003

92%

GALLAGHER, BEVERLY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

MOORE, MARCIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

RASCO, LYNN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2022

TAYLOR, JAMIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

WHITE, HOLLY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2022

GALLAGHER, BEVERLY

IndividualCORPORATE DIRECTORSince Aug 2023

RASCO, LYNN

IndividualCORPORATE DIRECTORSince Jul 2022

WHITE, HOLLY

IndividualCORPORATE DIRECTORSince Mar 2022

ESTES, JAMES

IndividualCORPORATE OFFICERSince Sep 1997

LONG, PHILLIP

IndividualCORPORATE OFFICERSince Oct 2019

REGIONS BANK

Organization5% OR GREATER SECURITY INTERESTSince Aug 2013

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (37)

January 31, 2025Health8 deficiencies
0600EMinimal harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 2, 2025
0602DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 2, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 2, 2025
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 2, 2025
0803EMinimal harm, Pattern

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.

Nutrition and Dietary Deficiencies

Corrected Mar 2, 2025
0808DMinimal harm, Isolated

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.

Nutrition and Dietary Deficiencies

Corrected Mar 2, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 2, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 2, 2025
March 21, 2024Health12 deficiencies
0550EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Apr 20, 2024
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 20, 2024
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0690EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 20, 2024
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 20, 2024
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Apr 20, 2024
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Apr 20, 2024
0921EMinimal harm, Pattern

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

Environmental Deficiencies

Corrected Apr 20, 2024
0947EMinimal harm, Pattern

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

Nursing and Physician Services Deficiencies

Corrected Apr 20, 2024
June 21, 2023Health1 deficiency
0921EMinimal harm, Pattern

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

Environmental Deficiencies

Corrected Jul 21, 2023
June 2, 2023Health1 deficiency
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jul 2, 2023
March 9, 2023Health1 deficiency
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Apr 7, 2023
December 30, 2022Health14 deficiencies
0550EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Feb 7, 2023
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Feb 7, 2023
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Feb 7, 2023
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Feb 7, 2023
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 7, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 7, 2023
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 7, 2023
0697EMinimal harm, Pattern

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Feb 7, 2023
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Feb 7, 2023
0803DMinimal harm, Isolated

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.

Nutrition and Dietary Deficiencies

Corrected Feb 7, 2023
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Feb 7, 2023
0805EMinimal harm, Pattern

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Feb 7, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Feb 7, 2023
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Feb 7, 2023

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Frequently Asked Questions

What is the CareGrader rating for LEGACY HEALTH AND REHABILITATION CENTER?

LEGACY HEALTH AND REHABILITATION CENTER in FORT SMITH, Arkansas has a CareGrader grade of C (Average), with a composite score of 75.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGACY HEALTH AND REHABILITATION CENTER?

LEGACY HEALTH AND REHABILITATION CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGACY HEALTH AND REHABILITATION CENTER have?

LEGACY HEALTH AND REHABILITATION CENTER has 37 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LEGACY HEALTH AND REHABILITATION CENTER have?

LEGACY HEALTH AND REHABILITATION CENTER has 115 certified beds with approximately 108 current residents (94% occupancy). The facility is located at 3310 NORTH 50TH STREET, FORT SMITH, Arkansas 72904. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.