3310 North 50th Street, Fort Smith, AR 72904 · Sebastian County · (479) 783-3101
115 certified beds, about 104 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045267 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 31, 2025, inspectors cited 5 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 34 health citations since December 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.60 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.
43.0% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Nhs Management, an affiliated group of 43 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure food items in the refrigerator, freezer and storage room were covered or sealed; 1 of 2 ice machines was maintained in clean and sanitary condition; dietary staff washed their hands before handling food or clean equipment; ceiling tiles, air vents, dish washer wall, kitchen door frames were free of, debris, dirt, rust, stains; baseboards were secured; and hot food items were maintained at temperature of 135 degrees or above for 2 of 2 meals observed.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, the facility failed to ensure (1) hand hygiene was performed between residents during medication administration observation for Resident #21; (2) clean personal protective equipment (PPE) was used during medication administration for Resident #17 who was on enhanced barrier precautions (EBP); (3) transmission based precautions (TBP) were posted outside a secure unit when a parasitic infestation was identified; (4) and provide re-education to staff when infection trends were identified during a review of the facility's infection control practices.
Inspectors wroteBased on observations, interviews, record review, facility document review and facility policy review, it was determined that the facility failed to ensure an accurate account of a controlled medication for 1 of 3 medication carts reviewed for controlled medication reconciliation.
Inspectors wroteBased on observations, interviews, record review, and facility document review, it was determined the facility failed to serve and offer double portions as ordered for 1 (Resident #73) of 1 resident reviewed for therapeutic diet.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to keep residents free from abuse and neglect for 2 residents (Residents #68 and #84) who received physical abuse from another resident.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure a resident was not exploited for money from a staff member for 1 (Resident #42) of 10 residents reviewed for abuse. Specifically, the staff member accepted money from the resident for personal favors and borrowed money from the resident.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure residents were free from accidents and hazards for 1 (Resident #68) of 6 sampled residents reviewed for accidents and hazards, by not ensuring cleaning agents were kept locked up and out of the resident's reach.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care plan interventions were implemented for 1 (Resident #36) of 1 sampled resident who were at risk for falls, to prevent falls and possible injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that 1 (Resident #78) of 17 residents who reside on the hall had nails cleaned and trimmed to promote good hygiene, cleanliness, and a sense of well being, and that 1 (Resident #41) of 29 residents who reside on the hall had facial hair removed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents at risk for falls were supervised and fall prevention interventions were implemented for 1 (Resident #36) of 1 sampled residents, to prevent falls and possible serious injury; failed to ensure 3 of 3 clothes dryers remained free of lint build-up to decrease the potential for fire and loss of laundry services for 1 of 1 laundry room; and failed to ensure the safety of a resident by transferring 2 (Residents #87 and #304 ) sampled residents without a gait belt.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a securement device was used for residents with urinary inswelling catheters in place for 1 (Resident #68) of 5 sampled residents who had a catheter
Inspectors wroteBased on observations, interview, and record review, the facility failed to (1) ensure medications were readily available at all times for 1 (Resident #28) of 1 sampled resident, who was on scheduled pain medication, to prevent possible increase in pain or further decline in status, (2) ensure that staff performed hand hygiene while providing incontinence care for 1 (Resident #32) sampled resident, (3) ensure that staff utilized adjustable chairs in a manner that avoided causing a restraint for 1 (Resident #36) sampled resident, (4) ensure that privacy was maintained while providing bathing and incontinence care for 3 (Residents #61, #72, and #304) sampled residents, and (5) ensure that safety devices were utilized while lifting and transferring for 2 (Residents #87 and #304) sampled residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were readily available at all times for 1 (Resident #28) of 1 sampled resident, who was on scheduled pain medication, to prevent possible increase in pain or further decline in status.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff washed and/or sanitized their hands during meal service in the facility's dining room to prevent cross-contamination which had the potential to affect the 23 residents residing in the dining area, that the laundry workers handled resident garments in a manner that avoided contamination, and that
Inspectors wroteAccording to record review, observations, and interview the facility failed to ensure that a clean, safe, comfortable homelike environment was provided in rooms [ROOM NUMBER], the Resident Bathroom in the secure unit, the Dayroom/Dining Room in the secure unit, and for 1 (Resident #50) sampled resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure Dementia in-service training was provided in the past year.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident individualized care plan was updated to ensure appropriate care was received for 1 (Resident #78) of 1 sampled resident who had no order for any type of nail care to be provided, and no care plan interventions regarding a device related to contracture. This failed practice had the potential to affect 94 residents
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure services were provided to minimize the potential for further decline in range of motion for 1 (Resident #78) of 11 residents who had contractures with limited range of motion.
Inspectors wroteAccording to observation, interview, and record review, the facility failed to ensure the dignity of 3 (Resident #61, #72, and #304) sampled residents by not pulling the curtain or closing the door, leaving them exposed for any visitors to see from the hallway.
Inspectors wroteBased on observation and interview, the facility failed to ensure food items stored in the freezer were covered, sealed, and dated; kitchen vents were cleaned to provide a sanitary environment for food preparation; floors, dish washer, kitchen walls, door frames and baseboards were free of rotten wood; chipped floor tiles were free of debris, dirt, grease, grime, rust, stains, and spills; ceiling tiles were replaced and in a sanitary condition; and dietary staff washed their hands before they handled clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 89 residents who received meals from the kitchen (total census: 95), as documented on a list provided by the Dietary Supervisor on 12/29/22 at 3:22 PM
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure staff did not stand over residents while they assisted with meals and failed to ensure staff did not allow a resident to eat food that had been touched by another resident which failed to promote resident's dignity for 1 (Resident #69) of 3 (Resident #33, #69, #85) sampled residents who required assistance with meals and received their meal trays in the unit dining room. This failed practice had the potential to affect 19 residents who required assistance with eating as documented on a list provided by the Director of Nursing (DON).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a homelike environment was provided for residents living on the North Hall secure unit.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure assistance with Activities of Daily Living (ADL) was provided to 1 (Resident #9) of 13 (Residents #2, R #7, R #9, R #44, R #59, R #60, R #61, R #74, R #79, R #80, R #81, R #85, and R #248) sample residents who were dependent on staff for ADL care per the ADL Care List provided by the Director of Nursing (DON) on 12/29/22.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure oxygen was administered at the physician ordered flow rate for 1 (Resident #248) and Physician Orders were documented for 1 (Resident #80) of 9 (Resident #24, R #54, R #57, R #63, R #72, R #74, R #79, R #247, R #248) sample residents who received oxygen. This failed practice had the potential to affect 22 residents according to the Oxygen list provided by the Director of Nursing (DON) on 12/29/22 at 5:05 pm.
Inspectors wroteBased on interview and record review the facility failed to ensure pain management consistent with professional standards of practice was provided to meet the needs of 1 (Resident #9) of 6 (Resident #9, #24, #57, #61, #63 and #81) sample residents reviewed who had Physician Orders for regularly scheduled pain medication. This failed practice had the potential to affect 21 residents according to a list provided by the Director of Nursing (DON) on 12/29/22 at 5:05 PM.
Inspectors wroteBased on interview and record review the facility failed to ensure Pharmacy Services were provided to meet the needs of 1 (Resident #9) of 6 (Resident #9, #24, #57, #61, #63 and #81) sample residents reviewed who had Physician Orders for regularly scheduled pain medication. This failed practice had the potential to affect 21 residents according to a list provided by the Director of Nursing (DON) on 12/29/22 at 5:05 PM.
Inspectors wroteBased on observation and interview, the facility failed to ensure food was prepared by methods that maintained nutritive value, the appearance and encourage good nutritional intake for the residents who received pureed diets from 1 of 1 kitchen residents for 1 of 2 meals observed The failed practice had the potential to affect 6 residents who required pureed diets, 63 residents who received regular diet and 21 residents who received mechanical soft diets according to lists provided by the Dietary Supervisor on 12/29/2022. At 3:22 PM.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 5 residents who received pureed diets, as documented on a list provided by the Dietary Supervisor on 12/28/2022.
Inspectors wroteBased on interview and record review, the facility failed to ensure pneumococcal immunizations were administered to eligible residents and immunization records were tracked timely for 3 (Resident #44, R #78, and R #81) of 5 (Resident #44, R #57, R #60, R #78 and R #81) sample selected residents who had signed consents for the pneumococcal vaccine to help protect against pneumococcal bacteria which can cause serious infections and is potentially fatal.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure the call light was placed within reach to meet the needs of 1 (Resident #248) of 17 (Residents #7, R #15, R# 21, R #24, R #54, R #55, R #57, R #63, R #67, R #72, R #74, R #79, R #80, R #85, #247, R #248, R #249) sample residents reviewed. This failed practice had the potential to affect 71 residents according to a list provided by the Director of Nursing (DON) on 12/29/22 at 5:05 pm.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Care Plan interventions were implemented and followed to maintain nutritional status and help prevent significant weight loss and failed to ensure the responsible party was notified of weight loss for 1 (Resident #55) of 4 (Resident #54, R #55, R #63, and R #79) sample residents with excessive weight loss per the Resident Matrix provided by the Director of Nursing (DON) 12/27/22 and corrected on 12/30/22.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure medications were consumed and not left unattended for 1 (Resident #248) sample residents. This failed practice had the potential to affect 95 residents according to a resident census list provided by the Director of Nursing (DON) on 12/27/22 at 10:14 AM.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were prepared and served in accordance with the planned, written menu to meet the nutritional needs of the residents for 1 of 2 meals observed. The failed practices had the potential to affect 63 residents who received regular diets from the kitchen (total census: 95), according to a list provided by the Dietary Supervisor on 12/29/2022.
12 fire safety citations on file: 4 on January 31, 2025, 2 on March 21, 2024, 6 on December 30, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.60 | 4.02 | 3.86 |
| Registered nurses | 0.25 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.45 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 43.0% | 49.5% | 45.8% |
| Registered nurse turnover | 55.6% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.00 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.75 on weekdays and 3.23 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.83 in April to June 2025 to 3.60 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.60 | 0.25 | 3.75 | 3.23 | 0.0% | 0 of 90 | 104 |
| Oct to Dec 2025 | 3.88 | 0.39 | 4.06 | 3.40 | 0.0% | 0 of 92 | 107 |
| Jul to Sep 2025 | 3.86 | 0.37 | 4.01 | 3.46 | 0.0% | 0 of 92 | 109 |
| Apr to Jun 2025 | 3.83 | 0.29 | 4.00 | 3.39 | 0.0% | 0 of 91 | 107 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Arkansas, all employers | |||
| CNAs (nursing assistants) | $16.55 | $14.52 to $17.34 | 17,260 |
| LPNs and LVNs | $27.22 | $23.82 to $29.43 | 10,010 |
| Registered nurses | $37.95 | $32.04 to $43.40 | 29,400 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.8 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.5 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.3 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.3 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.0 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.9 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.7 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Legacy Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (37.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
37.4% this home
Worse than the national rate
US median of homes 51.5% · Arkansas: 7 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 46 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · Arkansas: 0 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 78 eligible stays.
8.7% this home
No different from the national rate
US median of homes 7.1% · Arkansas: 0 better, 7 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 46 eligible stays.
86.4% this home
Median of homes: Arkansas64.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 22 residents counted.
0.0% this home
Median of homes: Arkansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 34 residents counted.
9.2% this home
Median of homes: Arkansas2.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 34 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas98.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: NORTHPORT HEALTH SERVICES OF ARKANSAS, LLC. CMS links this home to Nhs Management, a group of 43 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| James Norman Estes Jr Tr | 5% or greater direct ownership interest | Organization | 12/31/2006 | |
| Jennifer Lee Estes Tr 031093 | 5% or greater direct ownership interest | Organization | 12/31/2006 | |
| Estes, James | 5% or greater direct ownership interest | Individual | 92% | 12/31/2003 |
| Regions Bank | 5% or greater security interest | Organization | 08/27/2013 | |
| Gallagher, Beverly | Managing control - governing body | Individual | 08/21/2023 | |
| Moore, Marcia | Managing control - governing body | Individual | 08/05/2024 | |
| Gallagher, Beverly | Corporate director | Individual | 08/21/2023 | |
| Rasco, Lynn | Corporate director | Individual | 07/01/2022 | |
| White, Holly | Corporate director | Individual | 03/04/2022 | |
| Estes, James | Corporate officer | Individual | 09/29/1997 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Gallagher, Beverly | Operational/managerial control | Individual | 08/21/2023 | |
| Moore, Marcia | Operational/managerial control | Individual | 08/05/2024 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Taylor, Jamie | Operational/managerial control | Individual | 09/02/2024 | |
| White, Holly | Operational/managerial control | Individual | 03/04/2022 | |
| Taylor, Jamie | Adp of the SNF | Individual | 02/03/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.