LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE
Certified for Medicare and Medicaid since 2008-01-15, LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE is a 189-bed nursing home in PLEASANT GROVE, Alabama, averaging 133.6 residents a day.
Has LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE been cited for violations?
CMS lists 18 health-inspection deficiencies for LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE since 2018-06-27: the highest scope-and-severity letter on record is F; the most recent health inspection was 2022-02-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2022-02-11 | F0814 | Dispose of garbage and refuse properly. | F |
| 2022-02-11 | F0584, F0759, F0886 | 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. / Ensure medication error rates are not 5 percent or greater. / Perform COVID19 testing on residents and staff. | E |
| 2022-02-11 | F0553, F0677, F0693, F0758 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
| 2019-07-01 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2019-07-01 | F0641, F0656, F0689, F0880 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2018-06-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2018-06-27 | F0584, F0755, F0880 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | D |
| 2018-06-27 | F0732 | Post nurse staffing information every day. | C |
How is LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE staffed?
| Measure | This facility | AL average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.18437 | 3.87825 |
| Total nursing staff turnover (%) | 53.2 | 46.9 |
| Average number of residents per day | 133.6 | 98.1 |
Who owns LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE, and what chain is it in?
LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE is registered with CMS as For profit - Corporation, operates under the legal business name LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE, LLC and belongs to the NHS MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NORTHPORT HOLDING OPERATIONS, LLC | since 05/29/2007 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | JAMES N ESTES JR FAMILY DYNASTY TR NO 2, JAMES NORMAN ESTES JR TR, JENNIFER E AGEE FAMILY DYNASTY TR NO 2, JENNIFER LEE ESTES TR 031093, ESTES, JAMES | since 01/01/2013 |
| 5% OR GREATER MORTGAGE INTEREST | CAPITAL FUNDING LLC | since 06/01/2012 |
| 5% OR GREATER SECURITY INTEREST | CAPITAL FUNDING LLC, HOLDING FACILITIES GROUP LLC, PLEASANT GROVE HEALTH REALTY LLC, SERVISFIRST BANK | since 06/01/2012 |
| CORPORATE DIRECTOR | COBB, LEIGH, MORRIS, HILARY, RASCO, LYNN | since 07/24/2023 |
| CORPORATE OFFICER | ESTES, JAMES, LONG, PHILLIP | since 05/29/2007 |
| OPERATIONAL/MANAGERIAL CONTROL | COBB, LEIGH, DARBY, MAEGAN, MORRIS, HILARY, RASCO, LYNN | since 07/24/2023 |
| ADP OF THE SNF | DARBY, MAEGAN | since 01/31/2025 |
Were you or a family member harmed at LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE?