Legacy Health and Rehabilitation of Pleasant Grove
Nursing home in Pleasant Grove, AL
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 30 7th Street, Pleasant Grove, AL 35127
- Phone
- (205) 744-8226
- Listed under
- For-profit, No fines in 3 years
- Medicare CCN
- 015461
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 189
- Average residents per day
- 134
- Ownership
- For-profit, corporation
- Legal business name
- Legacy Health and Rehabilitation of Pleasant Grove, LLC
- Chain
- Nhs Management (43 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 15, 2008
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Feb 11, 2022. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 27, 2018 to Feb 11, 2022): 0 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 11, 2022 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| Feb 11, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Feb 11, 2022 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D |
| Feb 11, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… | D |
| Feb 11, 2022 | 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. | E |
| Feb 11, 2022 | Ensure medication error rates are not 5 percent or greater. | E |
| Feb 11, 2022 | Perform COVID19 testing on residents and staff. | E |
| Feb 11, 2022 | Dispose of garbage and refuse properly. | F |
| Jul 1, 2019 | Ensure each resident receives an accurate assessment. | D |
| Jul 1, 2019 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Jul 1, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Jul 1, 2019 | Provide and implement an infection prevention and control program. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 4.18 hours
- Registered nurse (RN) time per resident per day
- 0.46 hours
- Nurse aide time per resident per day
- 2.85 hours
- Total nurse staffing on weekends
- 3.16 hours
- Nursing staff turnover (yearly)
- 53%
- RN turnover (yearly)
- 50%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.