ElderGrade
B

81.5/100

Above average

Covington Court Health And Rehabilitation Center

4500 Old Greenwood Rd, Fort Smith, AR 72903

CMS 4/5 stars #4 of 9 in Sebastian County (479) 646-5700
Certified beds
140
Occupancy
92%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

20.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.97 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 18% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 44% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.01 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.31 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 44.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 22 citations

Last standard health inspection: March 12, 2026 (5 months ago).

D Mar 12, 2026 F0656

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.

No actual harm, potential for more than minimal harm

D Aug 1, 2024 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

E Apr 18, 2024 F0557 From a complaint

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

No actual harm, potential for more than minimal harm

J Aug 18, 2023 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

F Jul 14, 2023 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Jul 14, 2023 F0835

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

No actual harm, potential for more than minimal harm

F Jul 14, 2023 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Jul 14, 2023 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of NHS MANAGEMENT, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
REGIONS BANK Organization 5% OR GREATER MORTGAGE INTEREST
REGIONS BANK Organization 5% OR GREATER SECURITY INTEREST
MOORE, MARCIA Individual MANAGING CONTROL - GOVERNING BODY
GALLAGHER, BEVERLY Individual CORPORATE DIRECTOR
RASCO, LYNN Individual CORPORATE DIRECTOR
WHITE, HOLLY Individual CORPORATE DIRECTOR
ESTES, JAMES Individual CORPORATE OFFICER
LONG, PHILLIP Individual CORPORATE OFFICER
GALLAGHER, BEVERLY Individual OPERATIONAL/MANAGERIAL CONTROL
MOORE, MARCIA Individual OPERATIONAL/MANAGERIAL CONTROL
RASCO, LYNN Individual OPERATIONAL/MANAGERIAL CONTROL
WHITE, HOLLY Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Covington Court Health And Rehabilitation Center

What is the ElderGrade for Covington Court Health And Rehabilitation Center? +

Covington Court Health And Rehabilitation Center holds an ElderGrade of B (81.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Covington Court Health And Rehabilitation Center? +

Residents receive an average of 4.01 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Covington Court Health And Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 22 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Covington Court Health And Rehabilitation Center accept Medicaid? +

Yes, Covington Court Health And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.