Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Covington Court Health And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to Care Plan BiPAP and Oxygen Use: A resident with COPD, acute lower respiratory infection, and acute bronchitis had orders for BiPAP at bedtime and when napping, plus PRN oxygen for SOB, but the care plan did not include BiPAP or oxygen use. The resident was observed with a BiPAP mask left uncovered in the room and was receiving O2 by NC. The MDS Coordinator confirmed the omission, and an LPN stated the order was communicated for care plan updates.
A resident with chronic kidney disease and anxiety disorder was observed using oxygen therapy without a physician's order. Facility staff confirmed the absence of an order and care plan for the therapy. The Unit Manager later reported that the therapy had been discontinued, and the equipment was removed. The DON stated that orders were reviewed each morning, but the process was not followed in this case.
A resident with Osteoarthritis and Spondylosis was observed with dried oatmeal on her blouse and hands, indicating a lack of assistance during meals. Staff confirmed the resident's dependency on meal setup and feeding, but she was not provided a protective covering. The DON and Administrator were unaware of the incident.
Failure to Care Plan BiPAP and Oxygen Use
Penalty
Summary
The facility failed to ensure that a BiPAP mask and oxygen use were care planned for one resident who had orders for BiPAP at bedtime and when napping, and oxygen at three to five liters per minute by nasal cannula as needed for shortness of breath. The resident’s MDS showed a BIMS score of 15, indicating cognitive intactness, and also documented intermittent oxygen therapy and BiPAP use on admission and while at the facility. However, the care plan reviewed on 03/01/2026 did not indicate that the resident used oxygen or a BiPAP mask, despite the resident’s diagnoses including COPD with acute lower respiratory infection and acute bronchitis. During observation on 03/09/2026, a BiPAP mask was seen on a table in the resident’s room uncovered, and the resident stated the mask was always left uncovered. The resident was on oxygen at three liters by nasal cannula and stated they had been on oxygen since admission. In interviews, the MDS Coordinator confirmed the resident did not have oxygen care planned and acknowledged the oxygen order had been placed on 02/28/2026. The LPN who transcribed the oxygen order stated she communicated what needed to be added to the care plan during the morning meeting, and the Administrator stated he did not have documentation from the stand-up daily meeting on 03/02/2026.
Oxygen Therapy Administered Without Physician's Order
Penalty
Summary
The facility failed to ensure that oxygen was administered only when ordered by a physician, which could potentially lead to respiratory complications for a resident. The resident, who had diagnoses including hypertensive chronic kidney disease, chronic kidney disease stage 3, and generalized anxiety disorder, was observed using oxygen therapy without a physician's order. The facility's policy on verbal and facsimile orders required that verbal orders be entered into the medical record and followed through appropriately, but this was not done for the resident's oxygen therapy. Observations revealed that the resident had a nasal cannula in place and an oxygen concentrator in use, despite the absence of a physician's order for oxygen therapy. Interviews with facility staff, including the Assistant Director of Nursing and the Unit Manager, confirmed the lack of an order and care plan for the oxygen therapy. The Unit Manager later reported that the oxygen therapy had been discontinued, and the equipment was removed from the resident's room. The Director of Nursing stated that orders were reviewed each morning, and the Unit Manager and charge nurses were responsible for updating care plans, but this process was not followed in this case.
Failure to Ensure Dignity While Dining
Penalty
Summary
The facility failed to ensure dignity while dining for a resident diagnosed with Osteoarthritis and Spondylosis of the Cervical Vertebra, who is required to wear a cervical collar. The resident was observed lying in bed with a bedside table that had a dark substance under a bowl of oatmeal and a used spoon. The resident had dried, caked oatmeal on her blouse, hands, and upper chest below her neck brace. The resident reported that she did not receive assistance with breakfast unless she asked multiple times and that she was not offered a clothing protector on the day of the observation. The resident also mentioned that she struggles to eat due to her arthritis and relies on hospice for cleaning and bathing. Interviews with facility staff, including an LPN and a CNA, confirmed that the resident is dependent on staff for meal setup and feeding. Both staff members stated that the facility provides protective coverings during meals, but the resident was not provided one on the observed day. The Director of Nursing (DON) and the Administrator were unaware of the resident's condition during breakfast and acknowledged the need for changes to improve care outcomes.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Smith
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Blossoms At Fort Smith Rehab & Nursing Center | 2 mi | ★★★★★ | 9 | 0 |
| Chapel Ridge Health And Rehab | 2 mi | ★★★★★ | 0 | 0 |
| Riverside Health Services | 2.5 mi | ★★★★★ | 6 | 0 |
| Fianna Hills Nursing And Rehabilitation Center | 2.6 mi | ★★★★★ | 1 | 0 |
| Methodist Health And Rehab | 2.8 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.