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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 56 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 61% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 8 findings, above the AL average of 3.9. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Legacy Health and Rehabilitation of Pleasant Grove faces significant, recurring criticism regarding patient safety, neglect, and poor communication. While some families report positive experiences with the therapy department and specific staff members, a large number of reviewers describe serious issues including dehydration, medication errors, theft of personal property, and unresponsiveness from administrative staff.
Quality Themes
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Concerns
Rating Trends
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Distribution · 58 analyzed
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Personalized based on this facility's data
Key Review Excerpts
“The staff from nursing to housekeeping treated her like family.”
“The therapists (occupational, physical, and speech) were great with our family member, and was able to tell us what they were doing good and not so good in.”
“Never get meds on time; meds are not logged at the time I receive them, the nurses seem to log times at the end of their shifts.”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Legacy Health and Rehabilitation shows recurring deficiencies across all three surveys, with persistent issues in fire safety systems, medication management, and infection control appearing multiple times. The facility has corrected each identified problem, but the pattern of repeat violations in critical safety areas like sprinkler systems, fire barriers, and medication error rates suggests ongoing operational challenges that families should discuss during visits.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Resident Rights Deficiencies
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 Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
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.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
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 Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Legacy Health and Rehabilitation of Pleasant Grove
for profit
Nhs Management
43 facilities nationwide
Chain avg rating: 2.8/5 · Rank 37 of 43 (Lowest rating)
Owners
Northport Holding Operations, LLC
Owner · Organization
James N Estes Jr Family Dynasty Tr no 2
Owner (parent company) · Organization
James Norman Estes Jr Tr
Owner (parent company) · Organization
Jennifer E Agee Family Dynasty Tr no 2
Owner (parent company) · Organization
Jennifer Lee Estes Tr 031093
Owner (parent company) · Organization
Estes, James
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
56 reviews from families & visitors
Official Website
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