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Legacy Heights Nursing and Rehab, LLC

900 West 12th St., Russellville, AR 72801 · Pope County · (479) 968-5858

122 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2006

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 045410 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 31, 2025, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).

None of its 11 health citations since January 2023 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 4.70 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

48.6% of nursing staff left within the year CMS measured (Arkansas average 49.5%).

CMS links it to Central Arkansas Nursing Centers, an affiliated group of 38 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
5E
2F
Potential for minimal harm
0A
0B
0C
July 31, 2025Standard inspection · 1 citation
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on facility policy review, record review, observations and interviews, it was determined that the facility failed to ensure ice machines were maintained in a clean condition to minimize the risk for food borne illness in one of two ice machines observed. Based on facility policy review, record review, observations and interviews, it was determined that the facility failed to ensure ice machines were maintained in a clean condition to minimize the risk for food borne illness in one of two ice machines observed.
April 18, 2024Standard inspection, Complaint inspection · 7 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure food items stored in the refrigerator were covered, sealed, and dated, kitchen walls, door frames and baseboards were free of rotten wood, chipped walls were replaced, dietary staff washed their hands when contaminated to decrease the potential for food borne illness for residents who received food from 1 of 1 kitchen, 2 of 2 ice machines were maintained in a clean and sanitary condition and dietary staff washed their hands and changed their gloves before handling 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 82 residents who received meals from the kitchen (total census: 82).
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure a medication cart was locked while unsupervised, and that controlled narcotics were contained in a locked and permanently affixed container.
  3. E
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on observation, interview and record review, 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 2 meals observed. This failed practice had the potential to affect 7 residents who received pureed diets from 1 of 1 kitchen.
  4. E
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure the 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 1 of 1 meal observed. The failed practice had the potential to affect 7 residents who received pureed diets.
  5. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure 1 of 3 shower rooms were clean.
  6. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure all medications were documented on the discharge summary for 1 (Resident #184) when discharging from the facility.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 (Resident #184) did not receive medications that were not prescribed to them upon discharge.
January 20, 2023Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 19, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods stored in the kitchen freezer, refrigerators, and dry storage area were labeled and dated when received and/or opened; foods in resident refrigerators on the halls were labeled and dated; cookware was cleaned and sanitized between uses; 1 of 2 ice machines was maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages, and to prevent potential food borne illness for residents who received meals from 1 of 1 Kitchen. These failed practices had the potential to affect 73 residents who received meal trays and beverages from the Kitchen as documented on a Diet list provided by the Administrator on 1/20/23.
  2. E
    Hire a qualified full-time social worker in a facility with more than 120 beds.
    F850 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 19, 2023
    Inspectors wroteBased on interview and record review, the facility failed to employ a qualified Social Worker with a minimum of a bachelor's degree in Social Work or a Human Services field to meet the needs of the residents. This failed practice had the potential to affect all 73 residents who resided in the facility per Resident Daily Census provided by the Administrator on 1/17/23.
  3. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR) evaluation process was completed in accordance with the State PASRR process for 1 (Resident #17) of 7 (Resident #1, R #14, R #17, R #36, R #55, R #57, and R #62) sample selected residents who had a diagnosis of a Serious Mental Disorder documented on the Mental Health Diagnosis list provided by the Administrator on 1/20/23, to ensure the resident received appropriate care and services.

Fire safety inspections

2 fire safety citations on file: 2 on July 31, 2025.

Every fire safety citation2 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · July 31, 2025 · Corrected (the home has a date of correction)
  2. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 31, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeArkansasUnited States
All nursing staff (RN, LPN and aides)4.704.023.86
Registered nurses0.470.410.69
All nursing staff on weekends4.043.453.42
Nurse aides3.59
Licensed practical nurses0.64
Nursing staff turnover (share who left in a year)48.6%49.5%45.8%
Registered nurse turnover12.5%44.8%42.9%
Administrators who left0

CMS expects 3.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 4.97 on weekdays and 4.04 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.19 in April to June 2025 to 4.70 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.700.474.974.04 1.3%0 of 9076
Oct to Dec 20255.020.515.314.30 1.3%0 of 9275
Jul to Sep 20255.400.515.754.51 1.3%0 of 9269
Apr to Jun 20255.190.535.474.49 1.2%0 of 9175
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Arkansas, Jan to Mar 20264.050.404.283.472.0%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

Staff pay at this home

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. If you work here, your report helps start one.

Official wage estimates for Arkansas

JobMedianMiddle halfEmployed
Arkansas, all employers
CNAs (nursing assistants)$16.55$14.52 to $17.3417,260
LPNs and LVNs$27.22$23.82 to $29.4310,010
Registered nurses$37.95$32.04 to $43.4029,400
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Legacy Heights Nursing and Rehab, LLC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeArkansasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.29.513.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.83.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.010.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.14.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.910.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
0.024.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.912.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.92.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.42.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Legacy Heights Nursing and Rehab, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

46.5% this home

No different from 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. 41 eligible stays.

Potentially preventable readmissions

10.2% 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. 57 eligible stays.

Infections that led to a hospital stay

6.7% 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. 30 eligible stays.

Self-care and mobility at discharge

44.0% 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. 25 residents counted.

Falls with major injury

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. 30 residents counted.

New or worsened pressure ulcers

0.0% 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. 30 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this 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.

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.

Owners and operators

Legal business name: LEGACY HEIGHTS NURSING AND REHAB, LLC. CMS links this home to Central Arkansas Nursing Centers, a group of 38 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Hursh, Paralea5% or greater direct ownership interestIndividual5%12/12/2024
Sams, Jerry5% or greater direct ownership interestIndividual12/12/2024
Dixon, GingerOperational/managerial controlIndividual12/10/2024
Central Arkansas Nursing Centers IncAdp of the SNFOrganization01/01/2025
Legacy Heights Manor LLCAdp of the SNFOrganization12/12/2024
Nursing Consultants IncAdp of the SNFOrganization01/01/2025
Dixon, GingerAdp of the SNFIndividual10/20/2004
Hursh, ParaleaAdp of the SNFIndividual12/12/2024
Morton, MichaelAdp of the SNFIndividual12/12/2024
Norsworthy, DavidAdp of the SNFIndividual12/12/2024
Pugh, MaryAdp of the SNFIndividual12/10/2024
Sams, JerryAdp of the SNFIndividual12/12/2024

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on July 31, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 18, 2024: "Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 18, 2024: "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."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 18, 2024: "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."

Other nursing homes nearby

Arkansas contacts for a concern about a nursing home

These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Legacy Heights Nursing and Rehab, LLC's Medicare star rating?
CMS rates Legacy Heights Nursing and Rehab, LLC 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Legacy Heights Nursing and Rehab, LLC get at its last inspection?
1 health deficiency at the standard inspection on July 31, 2025. The Arkansas average is 2.7.
Has Legacy Heights Nursing and Rehab, LLC been fined?
CMS lists no fines in the last three years.
Does Legacy Heights Nursing and Rehab, LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Legacy Heights Nursing and Rehab, LLC?
CMS lists 12 owners and managers, and links the home to Central Arkansas Nursing Centers. Legal business name: LEGACY HEIGHTS NURSING AND REHAB, LLC.

Sources

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