Legacy Health and Rehabilitation of Pleasant Grove
30 7th Street, Pleasant Grove, AL 35127 · Jefferson County · 189 certified beds · avg 134 residents/day · certified since Jan 15, 2008
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 11, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Feb 11, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 11, 2022 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 11, 2022 | E · Potential for harm, repeated | The facility did not perform required COVID-19 testing on residents and staff. |
| Feb 11, 2022 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Feb 11, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 11, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 11, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 1, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 1, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 1, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 1, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 1, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 27, 2018 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 27, 2018 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 27, 2018 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 27, 2018 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 27, 2018 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 5 | 0 | F |
| 2019 | 5 | 0 | F |
| 2022 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.16 | 4.43 | 3.95 | top 15% in Alabama; top 11% in the U.S. |
| Registered Nurse hours | 0.56 | 0.74 | 0.69 | bottom 23% in Alabama; bottom 47% in the U.S. |
| Weekend total nurse staffing | 3.90 | 3.73 | 3.50 | top 34% in Alabama; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.36 | 0.48 | bottom 11% in Alabama; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 53.2 | 46.9 | 45.8 | bottom 28% in Alabama; bottom 29% in the U.S. |
| RN turnover (%) | 50.0 | 39.5 | 42.9 | bottom 34% in Alabama; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.18, RN 0.46, weekend 3.16. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 51% | 05/29/2007 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 01/01/2013 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 07/01/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 01/01/2013 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 6% | 07/01/2013 |
| Northport Holding Operations, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/29/2007 |
| Capital Funding LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2012 |
| Capital Funding LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2012 |
| Cobb, Leigh | Individual | Corporate Director | NOT APPLICABLE | 07/24/2023 |
| Cobb, Leigh | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Darby, Maegan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/2024 |
| Darby, Maegan | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2025 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2007 |
| Holding Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2012 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Morris, Hilary | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Morris, Hilary | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Pleasant Grove Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2012 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/29/2013 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/29/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can I see where garbage is stored and how often it's removed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current policy for testing residents and staff when someone shows symptoms or there's an outbreak?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Caregivers of Pleasant Grove, INC | 0.1 mi | Pleasant Grove, AL | ★☆☆☆☆ | 2/5 | |
| Self Skilled Nursing & Rehab | 3.0 mi | Hueytown, AL | ★☆☆☆☆ | 1/5 | |
| Baron House of Hueytown | 3.2 mi | Hueytown, AL | ★★★★☆ | 4/5 | |
| Redmont Health and Rehabilitation Center | 3.5 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Northgate Health and Rehabilitation Center | 4.2 mi | Bessemer, AL | ★★☆☆☆ | 1/5 | |
| Stonehaven Health and Rehabilitation Center | 4.2 mi | Bessemer, AL | ★☆☆☆☆ | 1/5 | |
| Birmingham Nursing and Rehabilitation Ctr LLC | 5.9 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | abuse |
| Arlington Rehabilitation & Healthcare Center | 6.2 mi | Birmingham, AL | ★★★★☆ | 4/5 | |
| Oak Knoll Health and Rehabilitation, LLC | 6.3 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| Cherry Hill Rehabilitation & Healthcare Center | 6.9 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Diversicare of Bessemer | 8.6 mi | Bessemer, AL | ★☆☆☆☆ | 1/5 | |
| Civic Center Health and Rehabilitation, LLC | 8.8 mi | Birmingham, AL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015461.