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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E18 | F7 |
| Minimal | A· | B1 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Nov 21, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Jun 27, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| May 26, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 26, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E18 | F7 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 21, 2025 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 21, 2025 | |
| Nov 21, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 21, 2025 | |
| Nov 21, 2025 | K-0923 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 5 facilities.
43 facilities in 3 states. CMS chain ID 372.
Chain average overall rating (CMS): 2.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Estes | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 92% | Dec 31, 2003 |
| James Norman Estes Jr Tr | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2006 |
| Jennifer Lee Estes Tr 031093 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Estes | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 92% | Dec 31, 2003 |
| James Norman Estes Jr Tr | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2006 |
| Jennifer Lee Estes Tr 031093 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2006 |
| Meghan Shelton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 3, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Springdale Health and Rehabilitation Center 102 North Gutensohn, Springdale, AR 72762 CCN 045167 | 140 | Feb 13, 2026 | 34 | — | |
| Legacy Health and Rehabilitation Center 3310 North 50th Street, Fort Smith, AR 72904 CCN 045267 | 115 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Springdale Health and Rehabilitation Center 102 North Gutensohn, Springdale, AR 72762 CCN 045167 | 140 | Feb 13, 2026 | 34 | — | |
| Legacy Health and Rehabilitation Center 3310 North 50th Street, Fort Smith, AR 72904 CCN 045267 | 115 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Butterfield Trail Village 1923 East Joyce Blvd, Fayetteville, AR 72703 CCN 045125 | 1.3 km | 87 | Dec 5, 2025 | 193 harm | $58k | |
| North Hills Life Care and Rehab 27 E Appleby Road, Fayetteville, AR 72703 CCN 045398 | 1.9 km | 92 | Apr 9, 2026 | 20 | — | |
| Arkansas Veterans Home at Fayetteville 1179 North College Avenue, Fayetteville, AR 72703 CCN 045417 | 3.9 km | 90 | Mar 20, 2025 | 45 | — | |
| Edgewood Health and Rehab 1393 E Don Tyson Parkway, Springdale, AR 72764 CCN 045428 | 5.1 km | 102 | Jul 16, 2026 | 11 | — | |
| Mill Creek Health and Rehab LLC 4682 S 48th St, Springdale, AR 72762 CCN 045482 | 5.8 km | — | Not rated | Apr 1, 2026 | No citations in window | — |
| Westwood Health and Rehab, Inc 802 S West End Street, Springdale, AR 72764 CCN 045371 | 7.8 km | 85 | Aug 20, 2026 | 272 IJ5 open | $14k | |
| Springdale Health and Rehabilitation Center 102 North Gutensohn, Springdale, AR 72762 CCN 045167 | 8.9 km | 140 | Feb 13, 2026 | 34 | — | |
| Katherine's Place at Wedington 4405 West Persimmon Street, Fayetteville, AR 72704 CCN 045434 | 9 km | 119 | Sep 5, 2025 | 27 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 045220 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 045220 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Dec 21, 2025 |
| Nov 21, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 21, 2025 |
| Nov 21, 2025 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Dec 21, 2025 |
| Nov 21, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 21, 2025 | Complaint |
| Nov 21, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 21, 2025 |
| Jun 27, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jun 27, 2024 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jun 27, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jun 27, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jun 27, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0584 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 27, 2024 | Complaint |
| Jun 27, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0657 | 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 · Clinical care | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0803 | 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 · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Jun 27, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| May 26, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0803 | 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 · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 25, 2023 |
| May 26, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected May 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.68 (case-mix index 1.04).
| Mark Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Lynn Rasco | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2022 |
| Meghan Shelton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 3, 2025 |
| Jesse White | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2023 |
| Lynn Rasco | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2022 |
| James Estes | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 29, 1997 |
| Phillip Long | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Regions Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 27, 2013 |
| Mark Miller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Jesse White | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |
| Aug 20, 2026 |
504 open |
| — |
| Paris Health and Rehabilitation Center 1414 S Elm St, Paris, AR 72855 CCN 045300 | 140 | Mar 5, 2026 | 27 | — |
| Covington Court Health and Rehabilitation Center 4500 Old Greenwood Rd, Fort Smith, AR 72903 CCN 045363 | 140 | Mar 12, 2026 | 27 | — |
| Aug 20, 2026 |
504 open |
| — |
| Paris Health and Rehabilitation Center 1414 S Elm St, Paris, AR 72855 CCN 045300 | 140 | Mar 5, 2026 | 27 | — |
| Covington Court Health and Rehabilitation Center 4500 Old Greenwood Rd, Fort Smith, AR 72903 CCN 045363 | 140 | Mar 12, 2026 | 27 | — |