Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CAREGIVERS OF PLEASANT GROVE, INC

PLEASANT GROVE, AL · 64 certified beds · Last Life Safety survey March 11, 2021

CMS Certification Number 015044 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within AL

8 citations — more than 36% of the 224 certified nursing homes in AL. Compared within AL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in CMS's current file.

The latest survey found 3 citations; the earlier surveys on file averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2022 to August 2022), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was March 2021. Nursing homes nationally are typically surveyed 13–17 months after the last one (median 14), measured over 19,744 consecutive surveys in the last two years of CMS records. AL has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in AL, and nationally. Surveyors differ markedly between states, so the AL figure is the meaningful one.

This facility8AL median9National median11
Citations in CMS's current file, compared
MeasureCitations
This facility8
Median facility in AL9
Median facility nationally11

Survey history

Citations at each Life Safety survey
22018-1132020-0132021-03
Citations at each Life Safety survey
Survey dateCitations
November 29, 20182
January 15, 20203
March 11, 20213

Most-cited tags

Most-cited tags at this facility
K-02321K-03241K-02111K-09231K-03631K-03551K-03511K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12021-03-11
K-0324Provide properly protected cooking facilities.12020-01-15
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12021-03-11
K-0923Have proper medical gas storage and administration areas.12021-03-11
K-0363Install corridor and hallway doors that block smoke.12018-11-29
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12020-01-15
K-0351Install an approved automatic sprinkler system.12020-01-15
K-0353Inspect, test, and maintain automatic sprinkler systems.12018-11-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 11, 2021 — 3 citations

Citations issued on March 11, 2021
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 21, 2021)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (April 21, 2021)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 21, 2021)

January 15, 2020 — 3 citations

Citations issued on January 15, 2020
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 26, 2020)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 26, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 26, 2020)

November 29, 2018 — 2 citations

Citations issued on November 29, 2018
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 8, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 8, 2019)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.