LEGACY VILLAGE REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Legacy Village Rehabilitation. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LEGACY VILLAGE REHABILITATION
3251 WEST 5400 SOUTH
TAYLORSVILLE, UT 84118
(801) 613-4600

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 33
  • Certified Beds: 40

This Facility Accepts

  • Medicare

Operational Details

  • Operated By For Profit - Corporation
  • This Facility Does Not Offer Any Resident or Family Counseling
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Legacy Village Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-104.1%
Total Percent:4.1%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.0%
Total Percent:2.0%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.2%
Total Percent:0.2%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1626.8%
ADL Index Range: 6-1033.7%
ADL Index Range: 0-528.2%
Total Percent:88.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.6%
ADL Index Range: 6-102.0%
Total Percent:2.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.1%
Total Percent:1.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-50.7%
Total Percent:0.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.1%
ADL Index Range: 2-5
- No Signs of depression
0.5%
Total Percent:0.6%
 

Rating Details For Legacy Village Rehabilitation

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 25 Minutes2 Hours and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours27 Minutes56 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 2 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 52 Minutes2 Hours and 57 Minutes
Total Nurse Hours3 Hours and 54 Minutes5 Hours and 15 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Utah are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityUtah Average

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain71%36%
Percent of Short-Stay Residents Who Have Pressure Sores9%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/17/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/27/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/27/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/27/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/27/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/27/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/27/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Legacy Village Rehabilitation, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 10/05/2010
  • Correction Date: 11/15/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 10/05/2010
  • Correction Date: 11/09/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Legacy Village Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/16/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/27/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/27/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/27/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/27/2011
Source: Medicare Nursing Home Compare; Dept of Health of Utah - Bureau of Medicare/Medicaid Program-Certification and Resident Assessment - Retrieved 2011