Legacy Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (5 vs median 3)
Bottom 25% in AR · Critically understaffed (RN) · Below chain average · No penalties on record
What this means for your family
While some families report positive experiences with the facility's rehab team and cleanliness, the recurring reports of neglect and failure to respond to call buttons are serious red flags. Before choosing this facility, we strongly recommend conducting an unannounced visit and asking specifically about their protocols for monitoring call button response times and ensuring staff are briefed on new residents' medical needs.
Google Reviews
Google Reviews
49 reviews on Google“Legacy Health and Rehabilitation Center receives highly polarized feedback, with some families praising the facility's atmosphere and staff, while others report severe neglect and communication failures. Critical concerns include reports of residents not receiving basic hygiene, slow response times to call buttons, and staff appearing uninformed about residents' medical conditions. Families should be aware of the significant disparity between the positive experiences reported by some and the distressing accounts of neglect and lack of professional oversight.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and compassionate nursing staff
- Clean and well-maintained facility
- Responsive administrative leadership
- Effective rehabilitation and physical therapy services
Concerns
- Neglect and lack of basic hygiene care (mentioned by 4 reviewers)
- Unresponsive to call buttons or patient needs (mentioned by 3 reviewers)
- Staff uninformed about resident medical conditions (mentioned by 2 reviewers)
- Poor communication with family members (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 40 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is great to see how responsive the administration is to feedback; how does the leadership team involve families in the care planning process?
- 2We have heard wonderful things about the physical therapy services here; can you tell us more about how the rehab program supports a resident's recovery?
- 3What specific protocols are in place to ensure call buttons are answered promptly and all personal hygiene needs are met throughout the day?
- 4How do you ensure that all staff members, including newer hires, are fully updated on a resident's specific medical conditions and medication needs?
- 5In the event of a medical emergency after hours, what is the process for notifying the family and coordinating with doctors?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“My mom is there for a short term stay to receive physical therapy & they never go check on her when she pushes her call button... She could literally be on the floor and no one comes!!”
“Staff knew nothing about my brothers medical condition even 2 weeks after he arrived. They neglected his needs and I feel actually caused his death by being negligent!”
“The relative said the facility was better than the other, similar places in town... Aspects appreciated were: Good food. Good medical care, including nursing and physical therapy. Friendly staff.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
10
measures
1
measures
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Legacy Health and Rehabilitation Center has faced significant ongoing problems, with 49 deficiencies across 6 surveys and 12 complaint-triggered violations where families filed reports. Persistent issues include care planning and resident assessment, nutrition and dietary services, and infection control. While the facility corrects violations when cited, recurring problems in core care areas spanning multiple years suggest systemic quality concerns that warrant careful evaluation.
Jan 31, 2025Routine9
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Nutrition and Dietary Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
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.
Jan 31, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 21, 2024Routine8
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Mar 21, 2024Complaint6
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jun 21, 2023Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 2, 2023Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operations
Who Operates This Facility
Legacy Health and Rehabilitation Center
for profit
Chain Affiliation
Nhs Management
43 facilities nationwide
Chain avg rating: 2.8/5 · Rank 26 of 43
Ownership & Management
Owners
James Norman Estes Jr Tr
Owner · Organization
Jennifer Lee Estes Tr 031093
Owner · Organization
Estes, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
49 reviews from families & visitors
Official Website
Visit legacyfortsmith.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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