Federal inspection record · CMS data as of October 1, 2026
Legacy Health And Rehabilitation Of Pleasant Grove
30 7th Street, Pleasant Grove, AL · (205) 744-8226
- Certified beds
- 189
- Residents per day
- 134
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 15, 2008
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Legacy Health And Rehabilitation Of Pleasant Grove carries 50 inspection points. That is fewer than 17% of Alabama's 223 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–12 pts
- 3★ 12–23 pts
- 2★ 23–46 pts
- 1★ over 46 pts
Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary3F
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3E
- E
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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
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.
Pharmacy Service3E
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control3E
- E
Perform COVID19 testing on residents and staff.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2022-02-11
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2019-07-01
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2018-06-27
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 23 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
4 h 23 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.3 pts worse | 3.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine19.7 pts worse | 73.1% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts worse | 91.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts worse | 6.0% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.9% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better | 22.2% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts worse | 27.4% | 21.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts better | 0.0% | 0.5% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts better | 9.4% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts worse | 16.3% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts better | 8.9% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 6.8% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.2 pts worse | 75.4% | 85.6% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19 pts worse | 63.2% | 82.2% | 80.1% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Northport Holding Operations, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 16 facilities |
| Estes, James | 5% Or Greater Indirect Ownership Interest · Individual | 51% | 43 facilities |
| James N Estes Jr Family Dynasty Tr No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 24 facilities |
| Jennifer E Agee Family Dynasty Tr No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 24 facilities |
| James Norman Estes Jr Tr | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 40 facilities |
| Jennifer Lee Estes Tr 031093 | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 40 facilities |
| Capital Funding LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 21 facilities |
| Capital Funding LLC | 5% Or Greater Security Interest · Organization | 0% | 21 facilities |
| Cobb, Leigh | Corporate Director · Individual | 0% | 5 facilities |
| Cobb, Leigh | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Darby, Maegan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Darby, Maegan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Holding Facilities Group LLC | 5% Or Greater Security Interest · Organization | 0% | 10 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Morris, Hilary | Corporate Director · Individual | 0% | 5 facilities |
| Morris, Hilary | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Pleasant Grove Health Realty LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Servisfirst Bank | 5% Or Greater Security Interest · Organization | 0% | 21 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Construction1D
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
Egress1D
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
Services1D
- D
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Caregivers Of Pleasant Grove, Inc
Pleasant Grove, AL
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 8 min
- Fines
- $0
-
Self Skilled Nursing & Rehab
Hueytown, AL · Traylor Porter Healthcare
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Baron House Of Hueytown
Hueytown, AL · Diversicare Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0