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Legacy Health And Rehabilitation Of Pleasant Grove in Pleasant Grove, AL

30 7th Street, Pleasant Grove, AL 35127
2057448226
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Overall CMS Rating

1.0/5

vs State Average: 3.0 stars

1.0/5

Health Inspections

vs State Average: 2.9/5

4.0/5

Staffing Level

vs State Average: 3.5/5

3.0/5

Quality Measures

vs State Average: 3.2/5

0 penaltiesin last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.9
National Average
2.8
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
CitationDateDescriptionSeverity
F584Feb 11, 2022Honor 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
F677Feb 11, 2022Provide care and assistance to perform activities of daily living for any resident who is unable.D
F693Feb 11, 2022Ensure 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
F758Feb 11, 2022Implement 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
F553Feb 11, 2022Allow resident to participate in the development and implementation of his or her person-centered plan of care.D
Score
4.0
State Average
3.5
National Average
2.9
0.5RN Hours / Resident / Day
4.6Total Nurse Hours / Resident / Day
60.9%RN Turnover Rate
Score
3.0
State Average
3.2
National Average
3.6
3.0Long-Stay QM Rating
Short-Stay QM Rating
130.8Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTNORTHPORT HOLDING OPERATIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES N ESTES JR FAMILY DYNASTY TR NO 2
5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES NORMAN ESTES JR TR
5% OR GREATER INDIRECT OWNERSHIP INTERESTJENNIFER E AGEE FAMILY DYNASTY TR NO 2
5% OR GREATER INDIRECT OWNERSHIP INTERESTJENNIFER LEE ESTES TR 031093
5% OR GREATER INDIRECT OWNERSHIP INTERESTESTES, JAMES
OPERATIONAL/MANAGERIAL CONTROLCOBB, LEIGH
OPERATIONAL/MANAGERIAL CONTROLDARBY, MAEGAN
OPERATIONAL/MANAGERIAL CONTROLMORRIS, HILARY
OPERATIONAL/MANAGERIAL CONTROLRASCO, LYNN
Recent Penalties

No penalty records found.

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