Legacy Village Rehabilitation - Taylorsville Nursing Home
General Information
UPDATEFederal Provider Number
465171
Provider Name
LEGACY VILLAGE REHABILITATION
Provider Address
3251 WEST 5400 SOUTH
TAYLORSVILLE, UT 84129
TAYLORSVILLE, UT 84129
Provider Phone Number
(801) 613-4600
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
40
Number of Residents in Certified Beds
39
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LEGACY VILLAGE HEALTHCARE
Date First Approved to Provide Medicare and Medicaid services
2009-12-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34359
Reported LPN Staffing Hours per Resident per Day
0.17821
Reported RN Staffing Hours per Resident per Day
1.95641
Reported Licensed Staffing Hours per Resident per Day
2.13462
Reported Total Nurse Staffing Hours per Resident per Day
4.47821
Reported Physical Therapist Staffing Hours per Resident Per Day
0.65513
Expected CNA Staffing Hours per Resident per Day
2.23943
Expected LPN Staffing Hours per Resident per Day
0.64321
Expected RN Staffing Hours per Resident per Day
1.44046
Expected Total Nurse Staffing Hours per Resident per Day
4.32310
Adjusted CNA Staffing Hours per Resident per Day
2.56783
Adjusted LPN Staffing Hours per Resident per Day
0.22996
Adjusted RN Staffing Hours per Resident per Day
1.01484
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17552
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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