All citations for Legacy Health and Rehabilitation of Pleasant Grove

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Legacy Health and Rehabilitation of Pleasant Grove

Last standard health inspection on record

February 11, 2022

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 12 of 12 citations

  1. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  2. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  3. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  4. No harm, with potential for more than minimal harm

    Perform COVID19 testing on residents and staff.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0886, Infection Control Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  5. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2022).

  6. No harm, with potential for more than minimal harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  7. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  8. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  9. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2022).

  10. No harm, with potential for more than minimal harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0131, Construction Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2022).

  11. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2022).

  12. No harm, with potential for more than minimal harm

    Have restrictions on the use of portable space heaters.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.