Legacy Health and Rehabilitation Center in Fort Smith has an overall rating of 2 out of 5 stars. Its staffing rating is 4 stars, but health inspection and quality measures are both 2 stars; reported nurse staffing is 3.88 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Last inspection: January 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8753.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.69
Nurse aides
2.80
Weekend nursing
3.40
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.2%Improving
Residents with a fall causing major injury
4.3%Worsening
Residents with pressure ulcers (bedsores)
5.3%Improving
Residents with a urinary tract infection
2%Steady
Residents who lost too much weight
7.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.1%Improving
Residents whose ability to walk got worse
7.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
28.4%Improving
Short-stay residents newly given an antipsychotic
4.9%Steady
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
8.7%Improving
Residents with depressive symptoms
0.6%Improving
Long-stay residents given the seasonal flu vaccine
95.4%Steady
Long-stay residents given the pneumonia vaccine
76.1%Worsening
Short-stay residents given the seasonal flu vaccine
76.5%Steady
Short-stay residents given the pneumonia vaccine
70.6%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 12 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of NHS MANAGEMENT · 43 homes · 2.9 stars avg
Occupancy
107.1 residents on an average day (93% of 115 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.