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LEGACY HEIGHTS NURSING AND REHAB, LLC

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LEGACY HEIGHTS NURSING AND REHAB, LLC is a for profit - limited liability company facility in RUSSELLVILLE, AR with 122 certified beds and a 5-star overall CMS rating. The facility has 11 deficiency records on file.

900 WEST 12TH ST, RUSSELLVILLE, AR 72801

Phone: 4799685858

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
045410
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
122
Residents
69
In Hospital
No
County
Pope
Last Inspection
Jul 31, 2025

Staffing Data

RN Hours
0.51 (nat'l avg: 0.68)
LPN Hours
0.78
CNA Hours
4.11
Total Nursing Hours
5.40 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
44.4%
RN Turnover
12.5%

What the CMS Record Reveals About LEGACY HEIGHTS NURSING AND REHAB, LLC

LEGACY HEIGHTS NURSING AND REHAB, LLC operates 122 certified beds in RUSSELLVILLE, AR with approximately 69 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.40 total nursing hours per resident day (national average 3.89), with RN coverage at 0.51 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, LEGACY HEIGHTS NURSING AND REHAB, LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 44.4%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

E — Pattern - Minimal harm Jul 31, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: May 17, 2024

F — Widespread - Minimal harm Apr 18, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 17, 2024

E — Pattern - Minimal harm Apr 18, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: May 17, 2024

E — Pattern - Minimal harm Apr 18, 2024 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: May 17, 2024

E — Pattern - Minimal harm Apr 18, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 17, 2024

E — Pattern - Minimal harm Jan 20, 2023 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: Feb 19, 2023

F — Widespread - Minimal harm Jan 20, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 19, 2023

D — Isolated - Minimal harm Jan 20, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 19, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 89.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 33.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 60.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for LEGACY HEIGHTS NURSING AND REHAB, LLC?
LEGACY HEIGHTS NURSING AND REHAB, LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at LEGACY HEIGHTS NURSING AND REHAB, LLC?
LEGACY HEIGHTS NURSING AND REHAB, LLC reports 5.40 total nursing hours per resident day (national average: 3.89). RN hours are 0.51 per resident day (national average: 0.68). Nursing staff turnover is 44.4%.
How many beds does LEGACY HEIGHTS NURSING AND REHAB, LLC have?
LEGACY HEIGHTS NURSING AND REHAB, LLC has 122 certified beds with approximately 69 residents. The facility is located at 900 WEST 12TH ST, RUSSELLVILLE, AR 72801.
Does LEGACY HEIGHTS NURSING AND REHAB, LLC have any deficiencies on record?
Yes, LEGACY HEIGHTS NURSING AND REHAB, LLC has 11 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has LEGACY HEIGHTS NURSING AND REHAB, LLC received any fines or penalties?
No, LEGACY HEIGHTS NURSING AND REHAB, LLC has no fines or penalties on record.
Who owns LEGACY HEIGHTS NURSING AND REHAB, LLC?
LEGACY HEIGHTS NURSING AND REHAB, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was LEGACY HEIGHTS NURSING AND REHAB, LLC last inspected?
The most recent health inspection for LEGACY HEIGHTS NURSING AND REHAB, LLC was on Jul 31, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for LEGACY HEIGHTS NURSING AND REHAB, LLC?
LEGACY HEIGHTS NURSING AND REHAB, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial