2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Legacy Health and Rehabilitation Center provides a compassionate and inviting setting for residents in need of skilled nursing care in Fort Smith, Arkansas. With a team of dedicated professionals including trained nurses, certified nurses’ aides, and therapists, this assisted living community ensures that each resident receives personalized attention and support.
The facility boasts beautifully decorated common areas that create a warm and welcoming ambiance and residents can enjoy the outdoor courtyards. Moreover, there are also opportunities to participate in daily activities that promote engagement and an active lifestyle. Residents can take advantage of additional services such as beautician services and laundry assistance. Each room is equipped with cable television and complimentary Wi-Fi, ensuring connectivity and entertainment. Mealtimes are a delightful experience as residents have the option to dine in the comfort of their own room or in the restaurant-style dining area. Legacy Health and Rehabilitation Center is dedicated to providing exceptional care and a supportive environment that promotes the well-being and quality of life for all residents.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 3% State avg: 24m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 27% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 48m per day | ▲ 3% State avg: 2h 43m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 24m per day | ■ Avg State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 13% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 28% State avg: 16m per day · National avg: 28m per day |
Higher than the Arkansas average: 71.3%Legacy Health And Rehabilitation Center is legally operated by Northport Health Services of Arkansas, L.L.C., and administered by Enrique Gomez.
Key information about the people who lead and staff this community.
In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AR Average | vs. AR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 48 | 21 | This facility has 129% more total deficiencies than a typical Arkansas nursing home (48 vs. AR avg 21).↑ 129% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 12 | 5.3 | This facility has 126% more deficiencies per year than a typical Arkansas nursing home (12 vs. AR avg 5.3).↑ 126% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Arkansas average 4.2
Last Health inspection on Jan 2025
Arkansas average 21.8
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 39 citations resulted from standard inspections; 9 of 39 resulted from complaint investigations; and 5 of 39 came from combined inspections (standard and complaint).
400% worse than Arkansas averageArkansas average: 0.4
100% better than Arkansas averageArkansas average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% fewer staff per resident than Arkansas average
0% compared with Arkansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 86 CNA Staff are full-time employees. No contractors work on this role.
86
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,630 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 86 | 0 | 86 | 25,356 | 92 | 100% | 8 |
| Licensed Practical Nurse | 20 | 0 | 20 | 5,871 | 92 | 100% | 8.7 |
| Registered Nurse | 13 | 0 | 13 | 2,313 | 92 | 100% | 7.6 |
| Nurse Aide in Training | 12 | 0 | 12 | 2,163 | 86 | 93% | 6.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,024 | 64 | 70% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 929 | 72 | 78% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 497 | 71 | 77% | 6.7 |
| Dietitian | 1 | 0 | 1 | 482 | 62 | 67% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 473 | 62 | 67% | 7.6 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Aide | 0 | 5 | 5 | 363 | 61 | 66% | 5.8 |
| Qualified Social Worker | 0 | 4 | 4 | 361 | 66 | 72% | 4.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 286 | 59 | 64% | 3.8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 98 | 36 | 39% | 2.6 |
| Medical Director | 0 | 1 | 1 | 18 | 12 | 13% | 1.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 16 | 2 | 2% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
20% better than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.2
39% better than Arkansas averageArkansas average: 13.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
37% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
9.8%
26% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.5%
50% better than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
48% better than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.5%
6% better than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.3%
In line with Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
7.3%
46% worse than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
2.7%
75% worse than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
27.4%
162% worse than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
In line with Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.16
10% worse than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.61
111% worse than Arkansas averageArkansas average: 2.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
10% better than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
6.5%
328% worse than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.5%
In line with Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
38.4%
52% worse than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
10% better than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
58.3%
9% better than Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.4%
26% worse than Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
41% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Legacy Health And Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.2 miles from city center
Estimated distance in miles from Fort Smith's city center to Legacy Health And Rehabilitation Center's address, calculated via Google Maps.
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The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
| Covington Court Health And Rehabilitation Center | NH PC | Fort Smith | 140
Facility
140
AR AVG
84
Rank
#17 / 330 | 69.3% | -3% | 5.17 | +30% | +11% | $12.2k | 37 | 5.3 | 1 | 97 | - |
39
Facility
39
AR AVG
34
Rank
#165 / 419 | Dow Wilson | $14.6M | $7.0M | 47.9% | 45363 | ||||
| Chapel Ridge Health and Rehab | NH | Fort Smith | 84
Facility
84
AR AVG
84
Rank
#176 / 330 | 96.4% | +35% | 5.51 | -43% | +18% | $0 | 20 | 4.0 | - | 69 | A+ |
6
Facility
6
AR AVG
34
Rank
#363 / 419 | Jennifer Williams | $9.3M | $4.4M | 47.3% | 45364 | ||||
| Fianna Hills Nursing and Rehabilitation Center | NH HC MC RC | Fort Smith | 102
Facility
102
AR AVG
84
Rank
#125 / 330 | 85.3% | +20% | 4.84 | -30% | +4% | $0 | 20 | 10.0 | - | 95 | A+ |
73
Facility
73
AR AVG
34
Rank
#12 / 419 | Rhs Nursing, LLC | $11.5M | $4.4M | 38.1% | 45354 | ||||
| Legacy Health And Rehabilitation Center | NH MC | Fort Smith | 115
Facility
115
AR AVG
84
Rank
#83 / 330 | 82.6% | +16% | 4.79 | +47% | +3% | $0 | 39 | 4.9 | 2 | 107 | A+ |
40
Facility
40
AR AVG
34
Rank
#159 / 419 | Northport Health Services Of Arkansas, L.l.c | $10.9M | $4.9M | 44.5% | 45267 | ||||
| The Blossoms at Fort Smith Rehab & Nursing Center | NH MC NC PC RC | Fort Smith (Mill Creek) | 130
Facility
130
AR AVG
84
Rank
#47 / 330 | 82.3% | +15% | 3.88 | -17% | -17% | $0 | 37 | 3.7 | 1 | 118 | - |
34
Facility
34
AR AVG
34
Rank
#203 / 419 | Brandon Brown | $11.7M | $4.5M | 38.9% | 45345 |
Legacy Health And Rehabilitation Center is located in Fort Smith, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
The legal owner and operator of Legacy Health And Rehabilitation Center is Northport Health Services of Arkansas, L.L.C..
Legacy Health And Rehabilitation Center has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Legacy Health And Rehabilitation Center's occupancy is 83%.
Legacy Health And Rehabilitation Center is registered as a for-profit in AR.
Enrique Gomez is the administrator of Legacy Health And Rehabilitation Center.
Legacy Health And Rehabilitation Center has 115 beds.
Yes — there are 3 photos of Legacy Health And Rehabilitation Center in the photo gallery on this page.
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