Legacy Health and Rehabilitation of Pleasant Grove
30 7th Street, Pleasant Grove, AL 35127
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Follow this homeLegacy Health and Rehabilitation of Pleasant Grove is a nursing home in Pleasant Grove, Alabama. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionFebruary 11, 2022 (4 years ago)
- Health citations since June 27, 201818 (Alabama average 10)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on February 11, 2022
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0814. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on March 18, 2022.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 18, 2022.
CMS has cited this home for F0584 2 times since 2018.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on March 18, 2022.
Citation F0886. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Perform COVID19 testing on residents and staff.
CMS lists it as corrected on March 18, 2022.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on March 18, 2022.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on March 18, 2022.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 18, 2022.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 18, 2022.
Fire safety inspection on February 11, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on March 22, 2022.
Citation K0131. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on March 22, 2022.
Citation K0225. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on March 22, 2022.
Citation K0781. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on March 22, 2022.
Health inspection on July 1, 2019
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 30, 2019.
CMS has cited this home for F0812 2 times since 2018.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on August 30, 2019.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 30, 2019.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 30, 2019.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 30, 2019.
CMS has cited this home for F0880 2 times since 2018.
Fire safety inspection on July 1, 2019
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on July 23, 2019.
Citation K0531. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have elevators that firefighters can control in the event of a fire.
CMS lists it as corrected on July 23, 2019.
Health inspection on June 27, 2018
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 31, 2018.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 31, 2018.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 31, 2018.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 31, 2018.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on July 31, 2018.
Fire safety inspection on June 27, 2018
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0346. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on August 6, 2018.
Citation K0354. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
CMS lists it as corrected on August 6, 2018.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 6, 2018.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on August 6, 2018.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 6, 2018.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 6, 2018.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (205) 744-8226
- Last standard health inspection
- February 11, 2022 (4 years ago)
- Certified beds
- 189
- Residents per day, on average
- 134.3
- Ownership type
- For profit - Corporation
- Legal business name
- Legacy Health and Rehabilitation of Pleasant Grove, LLC
- Chain
- Nhs Management
- Takes part in
- Medicare and Medicaid
More health citations than the Alabama average (18 vs 10).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- NORTHPORT HOLDING OPERATIONS, LLC5% or greater direct ownership interest · 100% · since 05/29/2007
- JAMES N ESTES JR FAMILY DYNASTY TR NO 25% or greater indirect ownership interest · 18% · since 01/01/2013
- JAMES NORMAN ESTES JR TR5% or greater indirect ownership interest · 6% · since 07/01/2013
- JENNIFER E AGEE FAMILY DYNASTY TR NO 25% or greater indirect ownership interest · 18% · since 01/01/2013
- JENNIFER LEE ESTES TR 0310935% or greater indirect ownership interest · 6% · since 07/01/2013
Show 5 more
- ESTES, JAMES5% or greater indirect ownership interest · 51% · since 05/29/2007
- COBB, LEIGHOperational/managerial control · not applicable · since 07/24/2023
- DARBY, MAEGANOperational/managerial control · not applicable · since 10/14/2024
- MORRIS, HILARYOperational/managerial control · not applicable · since 09/01/2023
- RASCO, LYNNOperational/managerial control · not applicable · since 07/29/2013
Questions
When was Legacy Health and Rehabilitation of Pleasant Grove last inspected?
CMS lists February 11, 2022 as the date of its most recent standard health inspection.
How many citations (violations) does Legacy Health and Rehabilitation of Pleasant Grove have?
CMS lists 18 health citations since June 27, 2018. CMS also calls these deficiencies.
Has Legacy Health and Rehabilitation of Pleasant Grove been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Legacy Health and Rehabilitation of Pleasant Grove?
Its CMS overall star rating is 1 of 5.
Is Legacy Health and Rehabilitation of Pleasant Grove a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.