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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of June 27, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2018).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of June 27, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2018).

  3. 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).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 27, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2018).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 27, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2018).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 27, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2018).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 27, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2018).

  8. 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).

  9. 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).

  10. 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).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 1, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2019).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of July 1, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2019).

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.