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Legacy Health And Rehabilitation Center

3310 North 50th Street, Fort Smith, AR 72904
4797833101
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Overall CMS Rating

2.0/5

vs State Average: 3.3 stars

2.0/5

Health Inspections

vs State Average: 3/5

4.0/5

Staffing Level

vs State Average: 3.1/5

2.0/5

Quality Measures

vs State Average: 3.8/5

0 penalties in last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
2.0
State Average
3.0
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Jan 31, 2025 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. E
Jan 31, 2025 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. D
Jan 31, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Jan 31, 2025 Provide and implement an infection prevention and control program. E
Jan 31, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D
Score
4.0
State Average
3.1
National Average
2.9
0.4 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
2.0
State Average
3.8
National Average
3.6
3.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
108.9 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST JAMES NORMAN ESTES JR TR
5% OR GREATER DIRECT OWNERSHIP INTEREST JENNIFER LEE ESTES TR 031093
5% OR GREATER DIRECT OWNERSHIP INTEREST ESTES, JAMES
OPERATIONAL/MANAGERIAL CONTROL GALLAGHER, BEVERLY
OPERATIONAL/MANAGERIAL CONTROL MOORE, MARCIA
OPERATIONAL/MANAGERIAL CONTROL RASCO, LYNN
OPERATIONAL/MANAGERIAL CONTROL TAYLOR, JAMIE
OPERATIONAL/MANAGERIAL CONTROL WHITE, HOLLY
CORPORATE DIRECTOR GALLAGHER, BEVERLY
CORPORATE DIRECTOR RASCO, LYNN
Recent Penalties

No penalty records found.

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