Legacy Village Rehabilitation
3251 West 5400 South, Taylorsville, UT 84129 · Salt Lake County · 40 certified beds · avg 36 residents/day · certified since Dec 21, 2009
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 1, 2025 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 20, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 1, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 20, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Dec 1, 2025 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 1, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| May 15, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| May 15, 2025 | 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. · from a complaint |
| May 15, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Aug 30, 2023 | E · Potential for harm, repeated | 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. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Dec 29, 2021 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Dec 29, 2021 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | D |
| 2023 | 2 | 0 | E |
| 2025 | 7 | 2 | G ▲ |
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 | Utah avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 3.87 | 3.95 | — |
| Registered Nurse hours | 0.00 | 1.17 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.39 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.88 | 0.48 | — |
| Total nursing staff turnover (%) | 32.1 | 50.7 | 45.8 | top 8% in Utah; top 18% in the U.S. |
| RN turnover (%) | 27.8 | 40.6 | 42.9 | top 27% in Utah; top 25% 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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Exmar Company, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Fairholm Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Fairholm, Corey | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Fairholm, Paul | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Griffiths, Gary | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Hampton, Mark | Individual | 5% or Greater Indirect Ownership Interest | — | 06/01/2009 |
| Miles, Richard | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Miles, Stephen | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Olsen, George | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/23/2009 |
| Taylors Tcu | Organization | 5% or Greater Direct Ownership Interest | 23% | 03/23/2009 |
| The Miles Group | Organization | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Webster, David | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2003 |
| Western Lodging & Development, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Western States Lodging | Organization | 5% or Greater Direct Ownership Interest | 77% | 03/23/2009 |
| White, Richard | Individual | 5% or Greater Indirect Ownership Interest | — | 03/23/2009 |
| Dearden, Lance | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Dearden, Lance | Individual | ADP of the SNF | NOT APPLICABLE | 07/26/2021 |
| Stubbs, Rachael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/19/2019 |
| Stubbs, Rachael | Individual | ADP of the SNF | NOT APPLICABLE | 01/19/2019 |
| Western States Lodging | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/29/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 |
|---|---|---|---|---|---|
| Monument Healthcare Taylorsville | 1.9 mi | Salt Lake City, UT | ★★☆☆☆ | 2/5 | |
| Rocky Mountain Care - Hunter Hollow | 3.3 mi | West Valley City, UT | ★★☆☆☆ | 1/5 | |
| Cascades at Riverwalk | 3.3 mi | Midvale, UT | ★★★★☆ | 3/5 | |
| Aspen Ridge West Transitional Rehab | 3.7 mi | Murray, UT | ★★★★★ | 4/5 | |
| Meadow Peak Rehabilitation | 4.0 mi | Taylorsville, UT | ★★★☆☆ | 3/5 | |
| Copper Ridge Health Care | 4.5 mi | West Jordan, UT | ★★★☆☆ | 2/5 | |
| Alpine Meadow Rehabilitation and Nursing | 4.6 mi | West Valley City, UT | ★★★☆☆ | 2/5 | |
| Paramount Health and Rehabilitation | 5.2 mi | Salt Lake City, UT | ★★★☆☆ | 2/5 | |
| Rocky Mountain Care - Cottage on Vine | 5.3 mi | Murray, UT | ★★★☆☆ | 2/5 | |
| Aspen Ridge Transitional Rehab | 5.5 mi | Murray, UT | ★★★★★ | 5/5 | |
| Little Cottonwood Rehabilitation and Nursing | 5.5 mi | South Salt Lake, UT | ★★★★★ | 5/5 | |
| Monument Healthcare Murray Creek | 5.8 mi | Millcreek, UT | ★★☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 465171.