nursing home in Pleasant Grove, AL
Legacy Health and Rehabilitation of Pleasant Grove
30 7th Street, Pleasant Grove, AL 35127 · (205) 744-8226
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy Health and Rehabilitation of Pleasant Grove at a glance
Legacy Health and Rehabilitation of Pleasant Grove is a 189-bed for-profit nursing home in Pleasant Grove, Alabama (Jefferson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Alabama average of 3.
Residents receive about 4.2 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (February 11, 2022) found 8 health citations. The Alabama average is 3.9.
It has not received a federal fine in the past three years.
Nursing staff turnover is 53.2% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 189
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nhs Management
- Medicare-certified since
- January 15, 2008
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 015461
Ratings
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.18 hrs | 3.88 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.65 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.85 hrs | 2.44 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.16 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.2% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 39.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 50 | 50.6 | 80.6 | Better |
Penalties
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $12,315 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 189 | 118 | 107 | |
| Average residents per day | 134 | 98 | 86 | |
| Occupancy | 70.7% | 83.7% | 80.9% |
Long-stay residents
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.6% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.6% | 5.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 26.1% | 21.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.4% | 12% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.5% | 12.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.4% | 1.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.9% | 24.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 9% | 12.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 82% | 94.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 68.3% | 92.2% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 61.3% | 80.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70.8% | 85.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 11, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 22, 2022 |
| February 11, 2022 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | D Potential harm, isolated | Corrected March 22, 2022 |
| February 11, 2022 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | D Potential harm, isolated | Corrected March 22, 2022 |
| February 11, 2022 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected March 22, 2022 |
| February 11, 2022 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected March 18, 2022 |
| February 11, 2022 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected March 18, 2022 |
| February 11, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 18, 2022 |
| February 11, 2022 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | E Potential harm, pattern | Corrected March 18, 2022 |
| February 11, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 18, 2022 |
| February 11, 2022 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected March 18, 2022 |
| February 11, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 18, 2022 |
| February 11, 2022 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected March 18, 2022 |
| July 1, 2019 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected July 23, 2019 |
| July 1, 2019 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | D Potential harm, isolated | Corrected July 23, 2019 |
| July 1, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 30, 2019 |
| July 1, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 30, 2019 |
| July 1, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 30, 2019 |
| July 1, 2019 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 30, 2019 |
| July 1, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 30, 2019 |
| June 27, 2018 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected August 6, 2018 |
| June 27, 2018 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected August 6, 2018 |
| June 27, 2018 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 6, 2018 |
| June 27, 2018 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 6, 2018 |
| June 27, 2018 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 6, 2018 |
| June 27, 2018 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected August 6, 2018 |
| June 27, 2018 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 31, 2018 |
| June 27, 2018 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 31, 2018 |
| June 27, 2018 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 31, 2018 |
| June 27, 2018 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 31, 2018 |
| June 27, 2018 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 31, 2018 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NORTHPORT HOLDING OPERATIONS, LLC Organization | 5% or greater direct ownership interest | 100% | 05/29/2007 |
| ESTES, JAMES Individual | 5% or greater indirect ownership interest | 51% | 05/29/2007 |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 Organization | 5% or greater indirect ownership interest | 18% | 01/01/2013 |
| JAMES NORMAN ESTES JR TR Organization | 5% or greater indirect ownership interest | 6% | 07/01/2013 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 Organization | 5% or greater indirect ownership interest | 18% | 01/01/2013 |
| JENNIFER LEE ESTES TR 031093 Organization | 5% or greater indirect ownership interest | 6% | 07/01/2013 |
| CAPITAL FUNDING LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2012 |
| CAPITAL FUNDING LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2012 |
| HOLDING FACILITIES GROUP LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2012 |
| PLEASANT GROVE HEALTH REALTY LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2012 |
| SERVISFIRST BANK Organization | 5% or greater security interest | NOT APPLICABLE | 08/29/2018 |
| DARBY, MAEGAN Individual | adp of the snf | NOT APPLICABLE | 01/31/2025 |
| COBB, LEIGH Individual | corporate director | NOT APPLICABLE | 07/24/2023 |
| MORRIS, HILARY Individual | corporate director | NOT APPLICABLE | 09/01/2023 |
| RASCO, LYNN Individual | corporate director | NOT APPLICABLE | 07/29/2013 |
| ESTES, JAMES Individual | corporate officer | NOT APPLICABLE | 05/29/2007 |
| LONG, PHILLIP Individual | corporate officer | NOT APPLICABLE | 10/01/2019 |
| COBB, LEIGH Individual | operational/managerial control | NOT APPLICABLE | 07/24/2023 |
| DARBY, MAEGAN Individual | operational/managerial control | NOT APPLICABLE | 10/14/2024 |
| MORRIS, HILARY Individual | operational/managerial control | NOT APPLICABLE | 09/01/2023 |
| RASCO, LYNN Individual | operational/managerial control | NOT APPLICABLE | 07/29/2013 |
Other nursing homes near Legacy Health and Rehabilitation of Pleasant Grove
Caregivers of Pleasant Grove, INC
700 First Avenue, Pleasant Grove, AL 35127 · under 1 mi
For-profit · 64 beds
★★★★★1Much below averageSelf Skilled Nursing & Rehab
131 East Crest Road, Hueytown, AL 35023 · 3 mi
For-profit · 131 beds · Part of Traylor Porter Healthcare
★★★★★1Much below averageBaron House of Hueytown
190 Brooklane Drive, Hueytown, AL 35023 · 3.2 mi
For-profit · 50 beds · Part of Diversicare Healthcare
★★★★★4Above averageRedmont Health and Rehabilitation Center
1028 Bessemer Rd, Birmingham, AL 35228 · 3.5 mi
For-profit · 163 beds · Part of Arabella Healthcare Management
★★★★★3AverageNorthgate Health and Rehabilitation Center
4201 Bessemer Super Highway, Bessemer, AL 35020 · 4.2 mi
For-profit · 69 beds · Part of Arabella Healthcare Management
★★★★★2Below averageStonehaven Health and Rehabilitation Center
325 Selma Road, Bessemer, AL 35020 · 4.2 mi
For-profit · 79 beds · Part of Arabella Healthcare Management
★★★★★1Much below average
All nursing homes in Pleasant Grove, AL · Compare side by side
Frequently asked questions
What is Legacy Health and Rehabilitation of Pleasant Grove's rating?
Legacy Health and Rehabilitation of Pleasant Grove has 1 out of 5 stars on the CMS overall star rating. The average for Alabama nursing homes is 3 stars.
How many inspection citations did Legacy Health and Rehabilitation of Pleasant Grove receive?
Its most recent standard health inspection found 8 citations, compared with a Alabama average of 3.9. Every citation is listed on this page with its severity.
Does Legacy Health and Rehabilitation of Pleasant Grove accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy Health and Rehabilitation of Pleasant Grove?
It is for profit - corporation and part of Nhs Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy Health and Rehabilitation of Pleasant Grove and how do I contact it?
Legacy Health and Rehabilitation of Pleasant Grove is at 30 7th Street, Pleasant Grove, AL 35127. Phone: (205) 744-8226.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.