LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE

30 7TH STREET
PLEASANT GROVE, AL 35127

šŸ“ž 2057448226
For profit - CorporationNHS MANAGEMENT189 certified beds~131 residents/day

30 7TH STREET, PLEASANT GROVE, AL

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CMS Five-Star Ratings

Source: CMS Provider Data Catalog. Ratings updated monthly.

Overall Rating

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Composite of health inspections, staffing, and quality measures

Health Inspections

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Based on results of onsite inspection surveys

Staffing

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Nurse staffing levels relative to resident census

Quality Measures

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Clinical quality metrics from resident assessments

Staffing Data

Higher staffing hours = better care outcomes. RN turnover over 40% is a warning sign.

Total Nurse Hours / Resident / Day

4.56 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

0.56 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

61%

Warning if >40%

Total Nurse Turnover

51%

Warning if >50%

Inspection Deficiency Citations

Recent citations from CMS health inspections. Severity A–F = no resident harm. G–L = resident harm occurred.

F0553DResident Rights Deficiencies

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

Inspection: 2022-02-11Corrected: 2022-03-18
F0584EResident 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.

Inspection: 2022-02-11Corrected: 2022-03-18
F0677DQuality of Life and Care Deficiencies

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

Inspection: 2022-02-11Corrected: 2022-03-18
F0693DQuality 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.

Inspection: 2022-02-11Corrected: 2022-03-18
F0758DPharmacy 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 medication is necessary and PRN use is limited.

Inspection: 2022-02-11Corrected: 2022-03-18
F0759EPharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Inspection: 2022-02-11Corrected: 2022-03-18
F0814FNutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Inspection: 2022-02-11Corrected: 2022-03-18
F0886EInfection Control Deficiencies

Perform COVID19 testing on residents and staff.

Inspection: 2022-02-11Corrected: 2022-03-18
F0641DResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Inspection: 2019-07-01Corrected: 2019-08-30
F0656DResident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Inspection: 2019-07-01Corrected: 2019-08-30
F0689DQuality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Inspection: 2019-07-01Corrected: 2019-08-30
F0812FNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Inspection: 2019-07-01Corrected: 2019-08-30
F0880DInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2019-07-01Corrected: 2019-08-30
F0584DResident 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.

Inspection: 2018-06-27Corrected: 2018-07-31
F0732CNursing and Physician Services Deficiencies

Post nurse staffing information every day.

Inspection: 2018-06-27Corrected: 2018-07-31
F0755DPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Inspection: 2018-06-27Corrected: 2018-07-31
F0812FNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Inspection: 2018-06-27Corrected: 2018-07-31
F0880DInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2018-06-27Corrected: 2018-07-31

About This Data

All data is sourced directly from the CMS Provider Data Catalog (data.cms.gov) and updated every month. NursingHomeUSA receives no compensation from this facility.

CMS Provider Number (CCN): 015461

Medicare approved: 2008-01-15

Quick Facts

Certified beds189
Avg residents/day131
OwnershipFor profit - Corporation
ChainNHS MANAGEMENT
Abuse alertNo
Special Focus (SFF)No

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