Legacy Health And Rehabilitation Of Pleasant Grove has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in Alabama. Families considering this Pleasant Grove facility should carefully review its inspection history and quality metrics.
Legacy Health And Rehabilitation Of Pleasant Grove provides above-average staffing with 4.56 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 18 deficiencies at Legacy Health And Rehabilitation Of Pleasant Grove. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.56 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.47 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.23 | 2.4 | Above Average |
| Weekend Total Nursing | 3.43 | 3.8 | Average |
| Weekend RN Hours | 0.18 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0814 Severity FDispose of garbage and refuse properly.Feb 10, 2022 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dFeb 10, 2022 · Resident Rights Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Feb 10, 2022 · Pharmacy Service Deficiencies
- Tag 0886 Severity EPerform COVID19 testing on residents and staff.Feb 10, 2022 · Infection Control Deficiencies
- Tag 0553 Severity DAllow resident to participate in the development and implementation of his or her person-centered plan of care.Feb 10, 2022 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.7% | 4.5% | Worse |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 28.4% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 13.9% | 14.0% | Average |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 5.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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