ElderGrade
B

74.5/100

Above average

Legacy Health And Rehabilitation Of Pleasant Grove

30 7Th Street, Pleasant Grove, AL 35127

CMS 1/5 stars #13 of 34 in Jefferson County (205) 744-8226
Certified beds
189
Occupancy
71%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 20.5/30 Stability 9/15 Outcomes 5/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • No citations recorded in the last 3 years

Staffing

20.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.16 total nurse hours per resident per day (national median 3.77)
  • 0.46 RN hours per resident per day
  • Weekend staffing drops 24% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 53% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.18 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.46 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.16 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 53.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: February 11, 2022 (4 years ago).

F Feb 11, 2022 F0814

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

No actual harm, potential for more than minimal harm

E Feb 11, 2022 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Feb 11, 2022 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

E Feb 11, 2022 F0886

Infection Control Deficiencies

Perform COVID19 testing on residents and staff.

No actual harm, potential for more than minimal harm

D Feb 11, 2022 F0553

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

No actual harm, potential for more than minimal harm

D Feb 11, 2022 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Feb 11, 2022 F0693

Quality of Life and Care Deficiencies

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.

No actual harm, potential for more than minimal harm

D Feb 11, 2022 F0758

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of NHS MANAGEMENT, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CAPITAL FUNDING LLC Organization 5% OR GREATER MORTGAGE INTEREST
CAPITAL FUNDING LLC Organization 5% OR GREATER SECURITY INTEREST
HOLDING FACILITIES GROUP LLC Organization 5% OR GREATER SECURITY INTEREST
PLEASANT GROVE HEALTH REALTY LLC Organization 5% OR GREATER SECURITY INTEREST
SERVISFIRST BANK Organization 5% OR GREATER SECURITY INTEREST
COBB, LEIGH Individual CORPORATE DIRECTOR
MORRIS, HILARY Individual CORPORATE DIRECTOR
RASCO, LYNN Individual CORPORATE DIRECTOR
ESTES, JAMES Individual CORPORATE OFFICER
LONG, PHILLIP Individual CORPORATE OFFICER
COBB, LEIGH Individual OPERATIONAL/MANAGERIAL CONTROL
DARBY, MAEGAN Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Legacy Health And Rehabilitation Of Pleasant Grove

What is the ElderGrade for Legacy Health And Rehabilitation Of Pleasant Grove? +

Legacy Health And Rehabilitation Of Pleasant Grove holds an ElderGrade of B (74.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Legacy Health And Rehabilitation Of Pleasant Grove? +

Residents receive an average of 4.18 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Legacy Health And Rehabilitation Of Pleasant Grove been cited for harming residents? +

No. None of the 18 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Legacy Health And Rehabilitation Of Pleasant Grove accept Medicaid? +

Yes, Legacy Health And Rehabilitation Of Pleasant Grove is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.