01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-12 | 1 | 2026-03-12 | 4 |
| Cycle 2 | 2024-08-01 | 1 | 2024-08-01 | 1 |
| Cycle 3 | 2023-07-14 | 18 | 2023-07-14 | 3 |
CMS CCN 0453632026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Covington Court Health And Rehabilitation Center
4500 Old Greenwood Rd · Fort Smith, AR 72903 · Sebastian County
Certified beds140CMS provider file
Recent citation rows28current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
28 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-12 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-04-102026-03-12 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2026-04-102026-03-12 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-04-102026-03-12 · FIREK0344Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Correction field: Deficient, Provider has date of correction · 2026-04-102026-03-12 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2026-04-102024-08-01 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-08-302024-08-01 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-08-292024-04-18 · HEALTHF0557Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2024-05-17 · complaint2023-08-18 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2023-08-18 · complaint2023-07-14 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0805Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0809Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0835Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2023-08-132023-07-14 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-08-1303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JAMES NORMAN ESTES JR TROrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 12/31/2006
- JENNIFER LEE ESTES TR 031093Organization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 12/31/2006
- ESTES, JAMESIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST92% · since 12/31/2003
- REGIONS BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 05/31/2007
- REGIONS BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/27/2013
- MOORE, MARCIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/05/2024
- GALLAGHER, BEVERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/21/2023
- RASCO, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- WHITE, HOLLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/04/2022
- ESTES, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/29/1997
- LONG, PHILLIPIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- GALLAGHER, BEVERLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/21/2023
- MOORE, MARCIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/05/2024
- RASCO, LYNNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- WHITE, HOLLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/04/2022
- WILSON, DOWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/02/2024
- WILSON, DOWIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/03/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.01per resident day
RN hours0.37per resident day
Weekend nurse hours3.31per resident day
Staff turnover44.1%CMS reported field
06 / LOCAL RECORDS
Open the Fort Smith ledger →Other published facilities nearby
Brooken Hill Health And Rehab, Llc125 beds · CMS overall 3/510 citation rowsChapel Ridge Health And Rehab74 beds · CMS overall 4/525 citation rowsFianna Hills Nursing And Rehabilitation Center102 beds · CMS overall 3/525 citation rowsLegacy Health And Rehabilitation Center115 beds · CMS overall 2/546 citation rowsMethodist Health And Rehab145 beds · CMS overall 3/521 citation rowsThe Blossoms At Fort Smith Rehab & Nursing Center130 beds · CMS overall 1/534 citation rows