Public Record
Legacy Health and Rehabilitation of Pleasant Grove
Operated by NHS Management
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 189
- Avg. residents per day
- 131.7
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 18
- Fire safety findings
- 12
- Inspections on file
- 6
- Last inspection
- 2022-02-11
*CMS
*CMS
*CMS
*CMS
Citations
18 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0693Generalpotential for harm
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.
- 0758Generalpotential for harm
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.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0886Generalpotential for harm
Perform COVID19 testing on residents and staff.
- 0553Generalpotential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- 0584Generalpotential for harm
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.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0584Generalpotential for harm
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.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety4 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspectionFire Safety6 deficiencies
- View inspection reportInspection5 deficiencies
Ownership
NHS Management
43nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Legacy Health and Rehabilitation of Pleasant Grove?
- Legacy Health and Rehabilitation of Pleasant Grove is a Medicare- and Medicaid-certified nursing home in Pleasant Grove, AL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 015461.
- What is the CMS rating for Legacy Health and Rehabilitation of Pleasant Grove?
- Legacy Health and Rehabilitation of Pleasant Grove has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Legacy Health and Rehabilitation of Pleasant Grove have?
- Legacy Health and Rehabilitation of Pleasant Grove is certified for 189 beds. It serves an average of 131.7 residents per day.
- How many citations does Legacy Health and Rehabilitation of Pleasant Grove have?
- Legacy Health and Rehabilitation of Pleasant Grove has 18 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Legacy Health and Rehabilitation of Pleasant Grove last inspected?
- Legacy Health and Rehabilitation of Pleasant Grove was last inspected on February 11, 2022. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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