Nursing homes across Sebastian County, Arkansas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Nurse staffing at Ashton Place runs about 4.84 hours per resident day, roughly a quarter above the national average, though weekends dip around 14% below what the home covers Monday through Friday. The inspection record is recent and clean at the serious end, 17 deficiencies total, none involving harm or jeopardy, and none abuse-related, from a survey completed in March 2025. What keeps the staffing picture from being straightforward is turnover: 53.7% a year against a national average near 45.8%, which means many of the aides and nurses providing those above-average hours are still new to the building. A for-profit LLC operates its 122 beds.
Methodist Health And Rehab runs a nonprofit home in Fort Smith with 145 beds, and its nurse staffing sits at 4.89 hours per resident day, roughly 27% above the national average of 3.86. That's a real cushion, though weekend coverage drops about 23% below its own weekday level, so the weekday numbers aren't the whole story. Staff turnover lands at 47.1%, just above the national 45.8%, meaning nearly half the workforce turns over in a year. The home carries 24 deficiencies on its current record, none at harm or jeopardy level and none abuse-related. Its last inspection was October 2024. Quality and staffing each earned 4 of 5 stars from CMS; health inspections earned 3.
Chapel Ridge runs on more nursing hours than most homes, 4.58 per resident day against a national average of 3.86, and that shows up in its staffing rating. The trade-off is retention: 55.1% of staff left over the past year, well above the 45.8% national figure, and weekend coverage drops roughly 13% below what the home staffs on weekdays. Its 18 deficiencies include none involving harm or abuse, and the most recent inspection was in May 2025, so the record is fairly current. For-profit, limited liability ownership, 74 beds. Strong daily coverage, but ask how they hold that weekend line when turnover is this high.
Covington Court runs a 140-bed for-profit operation in Fort Smith, and the staffing numbers are the strongest part of the picture: 4.01 nurse hours per resident day, slightly ahead of the national average. The catch is weekends, when coverage drops about 18% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover sits at 44.1%, essentially in line with the national rate, so it's not an outlier in either direction. The inspection record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none related to abuse. The most recent inspection was March 2026, so the record is current.
Brooken Hill Health and Rehab runs 125 beds in Fort Smith under for-profit LLC ownership, and its nurse staffing sits at 5.80 hours per resident day, roughly half again the national average of 3.86. That's the strongest number here. The catch is weekends, when coverage drops about 17% below the home's own weekday pace, so the daily experience depends on when you visit. Its record shows nine deficiencies, none serious enough to reach harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was April 2026, so the picture is current. High staffing, moderate inspection results, and a weekend dip, that's the honest shape of this place.
Legacy Health and Rehabilitation Center runs 115 certified beds in Fort Smith under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover lands at 43%, slightly better than the national 45.8%, which matters because consistent caregivers know residents' routines. The current record shows 34 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was January 31, 2025, so the picture is reasonably current. CMS gives 2 of 5 stars for both health inspections and quality measures, with 3 of 5 for staffing.
Fianna Hills runs 102 certified beds as a for-profit LLC, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average. That's a real strength, with one catch: weekends run about 13% leaner than weekdays, so coverage isn't as steady as the headline number suggests. Turnover is the bigger concern at 59.3% against a national average of 45.8%, meaning more than half the nursing staff leaves each year, which makes consistent care harder to sustain. The current record shows 19 deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025.
The Blossoms At Fort Smith runs 130 certified beds as a for-profit partnership, and its staffing is the number that stands out: 3.25 nurse hours per resident per day, roughly 16% under the national average, with weekends about 13% thinner than weekdays. Staff turnover sits at 57% against a national 45.8%, so the people providing care keep changing. Its inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, and the last visit was September 19, 2025. Quality measures look better (4/5), but that staffing star tells you how hard it is to cover the floor.
Pink Bud Home For The Golden Years has real staffing depth, 4.81 nurse hours per resident day, about a quarter above the national average, and that's the one clear strength here. The rest of the picture is harder. State inspectors have cited 17 deficiencies, including two at the harm or jeopardy level and three tied to abuse, and the federal government has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes. Staff turnover runs slightly above the national rate, weekend coverage drops about 18% below weekday levels, and a $28,561 fine sits on the record. The most recent inspection was May 2025.