Legacy Village Rehabilitation
3251 West 5400 South, Taylorsville, UT 84129
Legacy Village Rehabilitation is a nursing home in Taylorsville, Utah. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionMay 27, 2026 (5 months ago)
- Health citations since August 30, 202312 (Utah average 26)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on May 27, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0640. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on July 20, 2026.
CMS has cited this home for F0640 2 times since 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on July 20, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 20, 2026.
CMS has cited this home for F0880 3 times since 2023.
Fire safety inspection on May 27, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0927. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
CMS lists it as corrected on July 1, 2026.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0712 2 times since 2025.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.0 to 1.9 hours per resident per day.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 4 of 5.
Health inspection on December 1, 2025
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
23 of 97 Utah homes (24%) got a citation at the actual harm level in 2025.
Show the 2 citations
Citation F0580. Severity G: actual harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 20, 2025.
Citation F0684. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 20, 2025.
CMS update of November 20, 2025
Staffing
Total nurse staffing reported to CMS went from 1.9 to 1.6 hours per resident per day.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.4 to 1.9 hours per resident per day.
Health inspection on May 15, 2025
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0640. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on July 14, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 14, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 14, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 14, 2025.
Citation F0641. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 14, 2025.
Fire safety inspection on May 15, 2025
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on July 13, 2025.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on July 13, 2025.
Citation E0024. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for volunteers.
CMS lists it as corrected on July 13, 2025.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 13, 2025.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 13, 2025.
CMS has cited this home for K0321 2 times since 2023.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 13, 2025.
CMS has cited this home for K0345 2 times since 2023.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 13, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on July 13, 2025.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on June 30, 2025.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.2 to 2.0 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 4 of 5.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
CMS update of December 21, 2023
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Health inspection on August 30, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 15, 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on October 15, 2023.
Fire safety inspection on August 30, 2023
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on October 25, 2023.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on October 25, 2023.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on October 25, 2023.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on October 25, 2023.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on October 25, 2023.
Citation K0906. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure gas cylinders are properly stored.
CMS lists it as corrected on October 25, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 25, 2023.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on October 25, 2023.
CMS star ratings
- 4 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (801) 613-4600
- Last standard health inspection
- May 27, 2026 (5 months ago)
- Certified beds
- 40
- Residents per day, on average
- 38.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Legacy Village Healthcare LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the Utah average (12 vs 26).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- TAYLORS TCU5% or greater direct ownership interest · 23% · since 03/23/2009
- WESTERN STATES LODGING5% or greater direct ownership interest · 77% · since 03/23/2009
- EXMAR COMPANY, LLC5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- FAIRHOLM HOLDINGS, LLC5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- THE MILES GROUP5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
Show 13 more
- WESTERN LODGING & DEVELOPMENT, LLC5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- FAIRHOLM, COREY5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- FAIRHOLM, PAUL5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- GRIFFITHS, GARY5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- HAMPTON, MARK5% or greater indirect ownership interest · no percentage provided · since 06/01/2009
- MILES, RICHARD5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- MILES, STEPHEN5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- WEBSTER, DAVID5% or greater indirect ownership interest · no percentage provided · since 03/23/2003
- WHITE, RICHARD5% or greater indirect ownership interest · no percentage provided · since 03/23/2009
- OLSEN, GEORGEIndirect ownership interest · not applicable · since 03/23/2009
- WESTERN STATES LODGINGOperational/managerial control · not applicable · since 03/29/2009
- DEARDEN, LANCEOperational/managerial control · not applicable · since 08/01/2021
- STUBBS, RACHAELOperational/managerial control · not applicable · since 01/19/2019
Questions
When was Legacy Village Rehabilitation last inspected?
CMS lists May 27, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Legacy Village Rehabilitation have?
CMS lists 12 health citations since August 30, 2023. CMS also calls these deficiencies.
Has Legacy Village Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Legacy Village Rehabilitation?
Its CMS overall star rating is 4 of 5.
Is Legacy Village Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.