Federal inspection record · CMS data as of October 1, 2026
Fayetteville Health And Rehabilitation Center
3100 Old Missouri Rd, Fayetteville, AR · (479) 521-4353
- Certified beds
- 140
- Residents per day
- 116
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1993
1
How this home got 4 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Fayetteville Health And Rehabilitation Center carries 40 inspection points. That is fewer than 23% 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
29 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
Nutrition and Dietary8F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- 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.
- 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.
- D
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.
Resident Assessment and Care Planning5E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- B
Ensure each resident receives an accurate assessment.
Quality of Life and Care5E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights3E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
Environmental3E
- 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.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- 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.
- 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.
Nursing and Physician Services1D
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspection history
2025-11-21
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-06-27
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-05-26
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 7 min of it from a registered nurse.
This home
3 h 28 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 71% 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 days0.5 pts worse | 2.4 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 99.8% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 100.0% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 6.2% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts better | 0.2% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 0.7% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts worse | 23.8% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts better | 9.4% | 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 worsened3.4 pts better | 5.8% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 4.0% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 0.9% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.8 pts better | 4.1% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 4.9% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.1 pts better | 100.0% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts better | 6.4% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.1 pts better | 100.0% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.2 pts better | 12.2% | 23.4% | 23.4% |
·
Who owns and runs it
14 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 |
| 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 |
| Miller, Mark | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Miller, Mark | Adp Of The SNF · Individual | 0% | 4 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
| Shelton, Meghan | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Shelton, Meghan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| White, Jesse | Operational/Managerial Control · Individual | 0% | 1 facilities |
| White, Jesse | 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.
Smoke5F
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Have an alternate power supply for its alarm system.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Have an alternate power supply for its alarm system.
Gas, Vacuum, and Electrical Systems1F
- F
Have proper medical gas storage and administration areas.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
·
Other homes nearby
-
Butterfield Trail Village
Fayetteville, AR
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 6 h 34 min
- Fines
- $58,006
-
North Hills Life Care and Rehab
Fayetteville, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 8 min
- Fines
- $0
-
Arkansas Veterans Home At Fayetteville
Fayetteville, AR
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0