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LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE - PLEASANT GROVE, AL

 



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Address
30 7TH STREET
PLEASANT GROVE, AL, 35127
Phone (make sure to verify first before calling): (205) 744-8226

Number of Certified Beds: 198
Total Number of Residents: 119
Percent of Occupied Beds: 60%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No


Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.670
Alabama:

0.613
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

1.210
Alabama:

1.059
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.880
State:

1.672
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.050
Alabama:

0.045
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.050
State:

0.048

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

14.3%
Alabama:

13.9%
Percent of long-stay residents who self-report moderate to severe pain
Here:

12.1%
Alabama:

9.6%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

15.0%
Alabama:

5.9%
Percent of long-stay residents who lose too much weight
Here:

3.3%
State:

8.1%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

3.2%
State:

3.4%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

5.4%
State:

5.7%
Percent of long-stay residents who were physically restrained
This Nursing Home:

2.0%
Alabama:

1.6%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

2.0%
State:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Alabama:

95.1%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
State:

91.7%
Percent of short-stay residents who self-report moderate to severe pain
Here:

14.5%
State:

19.6%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

0.8%
State:

0.9%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

98.4%
State:

87.4%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
Alabama:

83.6%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

1.7%
Alabama:

3.2%
Percent of long-stay residents who received an antipsychotic medication
Here:

44.0%
State:

27.0%

Complaint Deficiency

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Provide special eating equipment and utensils for each resident who needs them: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Many (Potential for minimal harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Potential for minimal harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Many (Potential for minimal harm)

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