All states › Arkansas › Fort Smith › Legacy Health and Rehabilitation Center
3310 North 50th Street Fort Smith, AR 72904 · Sebastian County
All 7 nursing homes in Fort Smith, AR (7 take Medicaid)
CMS certification number 045267 · See this home on Medicare Care Compare
Is Legacy Health and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legacy Health and Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Arkansas average of 3.5.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.43 hours per resident per day at Legacy Health and Rehabilitation Center, below the Arkansas median of 4.01 (US median: 3.72). About 0.21 of those hours are from registered nurses. On weekends it falls to 2.88 hours, 16% below its all-week average. Ask how weekends are staffed. 47.8% of nursing staff left within a year (Arkansas median 48.5%).
About this nursing home
Paying for care at Legacy Health and Rehabilitation Center: Medicare and Medicaid
Legacy Health and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Arkansas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 31, 2025 and found 5 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Legacy Health and Rehabilitation Center across 4 inspection dates, 13 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 37 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (10) and nutrition and dietary (8). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, December 30, 2022). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 4 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
BEnsure 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.
January 31, 2025 · 8 citations · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
March 21, 2024 · 12 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide 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.
December 30, 2022 · 14 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide safe, appropriate pain management for a resident who requires such services.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
Questions to ask on a tour of Legacy Health and Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on August 20, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
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Location
Hospitals near Legacy Health and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
3.5 mi
Baptist Health - Fort Smith Fort SmithEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 4m for patients treated and sent home
- 3.5 mi
-
4.0 mi
Mercy Hospital Fort Smith Fort SmithEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Legacy Health and Rehabilitation Center › All nursing homes in Fort Smith ›
Compare Legacy Health and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Van Buren Healthcare and Rehabilitation Center · Van Buren · 5 stars · 4.1 mi
- Covington Court Health and Rehabilitation Center · Fort Smith · 5 stars · 5.0 mi
- Chapel Ridge Health and Rehab · Fort Smith · 4 stars · 3.0 mi
- Valley Springs Rehabilitation and Health Center · Van Buren · 4 stars · 3.4 mi
Other Nhs Management nursing homes in Arkansas
- Covington Court Health and Rehabilitation Center · Fort Smith · 5 stars
- Fayetteville Health and Rehabilitation Center · Fayetteville · 4 stars
- Paris Health and Rehabilitation Center · Paris · 3 stars
- Springdale Health and Rehabilitation Center · Springdale · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Nhs Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.