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Legacy Health And Rehabilitation Of Pleasant Grove
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Feb 11, 2022 | 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. | E |
| — | Feb 11, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| — | Feb 11, 2022 | 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 |
| — | Feb 11, 2022 | 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 |
| — | Feb 11, 2022 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
0.5 RN Hours / Resident / Day
4.6 Total Nurse Hours / Resident / Day
60.9% RN Turnover Rate
3.0 Long-Stay QM Rating
— Short-Stay QM Rating
130.8 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST NORTHPORT HOLDING OPERATIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST JAMES N ESTES JR FAMILY DYNASTY TR NO 2
5% OR GREATER INDIRECT OWNERSHIP INTEREST JAMES NORMAN ESTES JR TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST JENNIFER E AGEE FAMILY DYNASTY TR NO 2
5% OR GREATER INDIRECT OWNERSHIP INTEREST JENNIFER LEE ESTES TR 031093
5% OR GREATER INDIRECT OWNERSHIP INTEREST ESTES, JAMES
OPERATIONAL/MANAGERIAL CONTROL COBB, LEIGH
OPERATIONAL/MANAGERIAL CONTROL DARBY, MAEGAN
OPERATIONAL/MANAGERIAL CONTROL MORRIS, HILARY
OPERATIONAL/MANAGERIAL CONTROL RASCO, LYNN
Recent Penalties
No penalty records found.
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