Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
LEGACY HEALTH AND REHABILITATION CENTER
FORT SMITH, AR · 115 certified beds · Last Life Safety survey January 31, 2025
CMS Certification Number 045267 · first certified January 1995
Ownership
Operated by NHS MANAGEMENT · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within AR
12 citations — more than 89% of the 221 certified nursing homes in AR. Compared within AR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (February 2026 to June 2026), and past the point by which nine in ten AR facilities have been surveyed. This facility’s last Life Safety survey was January 2025. Facilities in AR are typically surveyed 12–17 months after the last one (median 15), measured over 307 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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.
How that compares
Compared with the median facility in AR, and nationally. Surveyors differ markedly between states, so the AR figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in AR | 5 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 30, 2022 | 6 |
| March 21, 2024 | 2 |
| January 31, 2025 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2025-01-31 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 2 | 2024-03-21 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2025-01-31 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2024-03-21 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2022-12-30 |
| K-0344 | Have an alternate power supply for its alarm system. | 1 | 2025-01-31 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2025-01-31 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2022-12-30 |
What the citations cover
- Smoke Deficiencies 6
- Miscellaneous Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 6 |
| Miscellaneous Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 31, 2025 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0344 | Have an alternate power supply for its alarm system. | Deficient, Provider has date of correction (March 2, 2025) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (March 2, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (March 2, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (March 2, 2025) |
March 21, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (April 20, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (April 20, 2024) |
December 30, 2022 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (February 7, 2023) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (February 7, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 7, 2023) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (February 7, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (February 7, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (February 7, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.