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Legacy Health and Rehabilitation Center

3310 NORTH 50TH STREET, FORT SMITH, AR, 72904
(479) 783-3101
115 licensed beds

CMS rates Legacy Health and Rehabilitation Center 1 out of 5 overall. Federal inspectors issued 50 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

3310 North 50th Street
Fort Smith, AR 72904
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Public record summary

What we can show you for free.
Bed capacity
115
CMS facility ID
045267
Care type
Nursing home
County
Sebastian
Facility name
Legacy Health and Rehabilitation Center
Street address
3310 NORTH 50TH STREET
City / state / ZIP
Fort Smith, AR 72904
Phone
(479) 783-3101

About this facility — Legacy Health and Rehabilitation Center

Legacy Health and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Fort Smith, Arkansas. It is licensed for 115 beds — close to the median for skilled nursing facilities in Arkansas (106 beds).

It is one of 15 senior care facilities in Fort Smith and 222 skilled nursing facilities across Arkansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Nhs Management, a group of 43 facilities on this site.

Federal inspectors have cited Legacy Health and Rehabilitation Center 50 times across 9 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Nhs Management
Ownership type
For profit - Limited Liability company

Registered owners & officers

Estes, James
Direct owner · Officer — 92% stake — since 1997
Gallagher, Beverly
Governing body · Director · Operational control — since 2023
James Norman Estes Jr Tr
Direct owner — since 2006
Jennifer Lee Estes Tr 031093
Direct owner — since 2006
Long, Phillip
Officer — since 2019
Moore, Marcia
Governing body · Operational control — since 2024
Rasco, Lynn
Director · Operational control — since 2022
Regions Bank
Security-interest holder — since 2013
Taylor, Jamie
Operational control · Additional disclosable party — since 2024
White, Holly
Director · Operational control — since 2022

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1995-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-01-31
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$234 per day (≈ $7,110/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
84% Medicaid · 6% Medicare · 10% private/other
Occupancy
86% (fiscal year 2023)
Vs. state median
29% below the AR median of $329/day — full state cost breakdown

Services & coverage

Licensed beds
115
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-20Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-09-19
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-09-19
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-09-19
F-0803
B · No harm foundFood safetyFrom a complaint
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.
Corrected 2026-09-19
2025-01-31Health inspectionComplaint-triggered8 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-02
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-02
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-02
F-0803
E · No harm foundFood safety
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.
Corrected 2025-03-02
F-0808
D · No harm foundFood safety
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.
Corrected 2025-03-02
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-02
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-02
5 earlier / fire-safety inspections (38 citations)
2024-03-21Health inspectionComplaint-triggered12 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-20
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-20
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-20
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-20
F-0688
D · No harm found
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.
Corrected 2024-04-20
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-20
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-20
F-0726
E · No harm foundFrom a complaint
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.
Corrected 2024-04-20
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-20
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-20
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-20
F-0947
E · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-04-20
2022-12-30Health inspection14 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-02-07
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-02-07
F-0584
E · No harm found
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.
Corrected 2023-02-07
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-07
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-02-07
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-07
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-07
F-0697
E · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-02-07
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-02-07
F-0803
D · No harm foundFood safety
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.
Corrected 2023-02-07
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-07
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-02-07
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-07
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-02-07
2025-01-31Fire-safety inspection4 citations
K-0344
E · No harm found
Have an alternate power supply for its alarm system.
Corrected 2025-03-02
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-02
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-03-02
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-02
2024-03-21Fire-safety inspection2 citations
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-20
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-20
2022-12-30Fire-safety inspection6 citations
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2023-02-07
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-02-07
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-02-07
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-02-07
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-02-07
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-02-07
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 045267.

Quality of care & staffing

How it compares in Arkansas.
Inspection citations, 3 years
50
More than 98% of nursing homes in the state
State median: 22
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
3.4
Higher than 11% of nursing homes in the state
State median: 4.0
Nursing staff turnover, annual
48%
Higher than 47% of nursing homes in the state
State median: 49%

Resident outcomes

On 21 federal quality measures, this facility does better than the Arkansas average on 6 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased8.6%9.1%13.5%Near state average
Lose too much weight8.0%4.1%5.1%Worse than state
With a catheter inserted and left in their bladder0.2%0.5%0.7%Better than state
With a urinary tract infection0.8%1.1%1.5%Better than state
Have depressive symptoms0.9%1.4%13.5%Better than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury6.1%3.9%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine70.1%95.1%93.7%Worse than state
Ability to walk independently worsened5.4%9.2%12.7%Better than state
Received an antianxiety or hypnotic medication29.0%21.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine96.3%95.3%95.3%Near state average
With pressure ulcers6.8%4.2%4.5%Worse than state
With new or worsened bowel or bladder incontinence9.0%12.9%18.3%Better than state
Received an antipsychotic medication14.3%10.9%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.551.941.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.312.031.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine62.2%81.9%82.3%Worse than state
Newly received an antipsychotic medication3.4%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine80.9%75.9%80.1%Near state average
Were rehospitalized after a nursing home admission22.8%23.4%23.4%Near state average
Had an outpatient emergency department visit17.5%11.7%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-0803 3 inspections. 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.
  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.

What its owners also hold

  • Jennifer Lee Estes Tr 031093 has an ownership stake on file at 40 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
  • James Norman Estes Jr Tr has an ownership stake on file at 40 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Arkansas

  • Licensing: Arkansas Department of Human Services, DPSQA, Office of Long Term Care
  • File a complaint: 800-582-4887 · Online
  • Adult Protective Services: 800-482-8049. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Baptist Health - Van Buren, about 2.7 miles.
  • Baptist Health - Fort Smith, about 3.6 miles. CMS rating 2 of 5.
  • Mercy Hospital Fort Smith, about 4.2 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 50 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered