Federal inspection record · CMS data as of October 1, 2026
Legacy Village Rehabilitation
3251 West 5400 South, Taylorsville, UT · (801) 613-4600
- Certified beds
- 40
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- December 21, 2009
1
How this home got 4 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
-
Staffing
★★★★★+1 star
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.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Legacy Village Rehabilitation carries 47 inspection points. That is fewer than 56% of Utah's 96 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Utah: 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★ 0–15 pts
- 4★ 15–38 pts
- 3★ 38–66 pts
- 2★ 66–118.25 pts
- 1★ over 118.25 pts
Bars show every rated home in Utah 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
12 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (2)
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning3E
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- B
Ensure each resident receives an accurate assessment.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2026-05-27
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-05-15
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-08-30
2 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 56 min of nursing staff time a day, 1 h 45 min of it from a registered nurse.
This home
4 h 56 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 26% of nursing staff and 11% of registered nurses left in the past year.
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. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 99.8% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 11.8% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.7 pts worse | 80.5% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.5 pts worse | 25.5% | 17.0% | 23.4% |
·
Who owns and runs it
20 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 |
|---|---|---|---|
| Western States Lodging | 5% Or Greater Direct Ownership Interest · Organization | 77% | 1 facilities |
| Taylors Tcu | 5% Or Greater Direct Ownership Interest · Organization | 23% | 1 facilities |
| Dearden, Lance | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dearden, Lance | Adp Of The SNF · Individual | 0% | 1 facilities |
| Exmar Company, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Fairholm Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Fairholm, Corey | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Fairholm, Paul | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Griffiths, Gary | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Hampton, Mark | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Miles, Richard | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Miles, Stephen | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Olsen, George | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Stubbs, Rachael | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Stubbs, Rachael | Adp Of The SNF · Individual | 0% | 5 facilities |
| The Miles Group | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Webster, David | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Western Lodging & Development, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Western States Lodging | Operational/Managerial Control · Organization | 0% | 1 facilities |
| White, Richard | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems5F
- F
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure gas cylinders are properly stored.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness1D
- D
Establish policies and procedures for volunteers.
·
Other homes nearby
-
Monument Healthcare Taylorsville
Salt Lake City, UT · Monument Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $41,755
-
Rocky Mountain Care - Hunter Hollow
West Valley City, UT · Rocky Mountain Care
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 34 min
- Fines
- $20,318
-
Cascades at Riverwalk
Midvale, UT · Cascades Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0