Federal inspection record · CMS data as of October 1, 2026
Covington Court Health And Rehabilitation Center
4500 Old Greenwood Rd, Fort Smith, AR · (479) 646-5700
- Certified beds
- 140
- Residents per day
- 127
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 3, 2001
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Covington Court Health And Rehabilitation Center carries 6 inspection points. That is fewer than 94% of Arkansas's 218 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–18 pts
- 3★ 18–29 pts
- 2★ 29–44 pts
- 1★ over 44 pts
Bars show every rated home in Arkansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Resident Rights2E
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration1F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2026-03-12
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2024-08-01
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-07-14
17 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 52 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 98.1% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine66.9 pts worse | 28.4% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 1.7% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts better | 0.3% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 5.9% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts worse | 27.1% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 6.8% | 10.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.9 pts worse | 10.1% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts worse | 9.6% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.1% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.3 pts worse | 20.2% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 7.6% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better | 95.5% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse | 13.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts better | 88.1% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts worse | 24.7% | 23.4% | 23.4% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Estes, James | 5% Or Greater Direct Ownership Interest · Individual | 92% | 43 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Gallagher, Beverly | Corporate Director · Individual | 0% | 3 facilities |
| Gallagher, Beverly | Operational/Managerial Control · Individual | 0% | 3 facilities |
| James Norman Estes Jr Tr | 5% Or Greater Direct Ownership Interest · Organization | 0% | 40 facilities |
| Jennifer Lee Estes Tr 031093 | 5% Or Greater Direct Ownership Interest · Organization | 0% | 40 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Moore, Marcia | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Moore, Marcia | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Regions Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 51 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
| White, Holly | Corporate Director · Individual | 0% | 3 facilities |
| White, Holly | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Wilson, Dow | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wilson, Dow | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Have an alternate power supply for its alarm system.
- F
Provide properly protected cooking facilities.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress2E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have properly located and lighted "Exit" signs.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
The Blossoms At Fort Smith Rehab & Nursing Center
Fort Smith, AR · The Blossoms Rehab & Nursing Center
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Chapel Ridge Health And Rehab
Fort Smith, AR · Central Arkansas Nursing Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 49 min
- Fines
- $0
-
Riverside Health Services
Arkoma, OK
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 16 min
- Fines
- $89,918