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Non-profit

Legacy Pointe at Ucf

2120 Hestia Loop, Oviedo, FL 32765

(407) 543-6350

2CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
2 of 5Overall
2 of 5Health inspections
3 of 5Staffing
4 of 5Resident quality
OwnershipNon profit - CorporationCertified beds48
Estimated occupancy90.0%Latest inspection2026-03-19

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
worse
Health-inspection score
Facility: 53.0 points
worse
Total nurse staffing
Facility: 5.17 hours/day
better
RN staffing
Facility: 0.95 hours/day
better
Staff turnover
Facility: 71.3%
worse
Latest health deficiencies
Facility: 4 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall rating2 of 53.5 of 53 of 5
Health-inspection score53.0 points35.0 points38.5 points
Total nurse staffing5.17 hours/day3.81 hours/day3.63 hours/day
RN staffing0.95 hours/day0.73 hours/day0.62 hours/day
Staff turnover71.3%43.8%41.8%
Latest health deficiencies4 deficiencies4 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-03-19
4 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-04-19

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2026-04-19
2025-01-24
8 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0847 · Severity F

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Administration Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0848 · Severity F

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Administration Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0623 · Severity E

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0726 · Severity E

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0867 · Severity E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0585 · Severity D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0761 · Severity D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-02-24

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-24
2023-11-16
7 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0726 · Severity E

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-12-16

Tag 0561 · Severity D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-16

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-16

Tag 0686 · Severity D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-16

Tag 0759 · Severity D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-12-16

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2023-12-16

Tag 0732 · Severity C

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-12-16

Staffing composition

2.85 hours/dayNurse aide
1.37 hours/dayLPN
0.95 hours/dayRN
Total staffing
5.17 hours/day
County median
3.81 hours/day
Florida median
3.63 hours/day
Weekend total
4.56 hours/day
Staff turnover
71.3%
RN turnover
88.9%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

2.7 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days
20250101-20251231

Emergency-department visits

1.4 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days
20250101-20251231

Falls with major injury

1.5%betterFlorida: 2.2% · County: 2.1%
2025Q2-2026Q1

Pressure ulcers

5.5%worseFlorida: 4.2% · County: 4.3%
2025Q2-2026Q1

Urinary tract infections

1.6%unavailableFlorida: 0.0% · County: 0.4%
2025Q2-2026Q1

Antipsychotic medication use

Not reported: cms footnoteunavailableFlorida: 7.0% · County: 3.8%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?

    Suggested because of: abuse icon
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  4. What operational changes followed the facility's most recent penalty?

    Suggested because of: penalties
  5. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Seminole County
Certified beds
48
Average daily residents
43.2
Ownership
Non profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
2023-12-16
CCN
106153

Staffing Data

Reported measureValue
Nurse aide hours2.8532
Lpn hours1.36699
Rn hours0.94979
Reported total hours5.16997
Weekend total hours4.56434
Weekend rn hours0.51549
Adjusted total hours4.76625
Total turnover percent71.3
Rn turnover percent88.9
Administrators left1

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$26,685.00Total fines
2Number of fines
0Payment denials
DateTypeAmount
2025-11-19Fine$13,342.00
2025-11-19Fine$13,343.00

Totals reflect the supplied CMS records, not a lifetime total.

Citations

4Health citations
0Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

2

2025-11-19 · J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-11-19 · J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ownership & Operators

NameRoleShare
CCRC DEVELOPMENT CORPORATION5% OR GREATER DIRECT OWNERSHIP INTEREST100%
U.S. BANK5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
SMAAGE, KEVINW-2 MANAGING EMPLOYEENOT APPLICABLE
WEHMANN, DOMENICAW-2 MANAGING EMPLOYEENOT APPLICABLE
BANGS, TERRYCORPORATE DIRECTORNOT APPLICABLE
BLOOM, WARRENCORPORATE DIRECTORNOT APPLICABLE
BOWERS, RUSSELLCORPORATE DIRECTORNOT APPLICABLE
FRAME, ADRIENNECORPORATE DIRECTORNOT APPLICABLE
GOFF, BARRYCORPORATE DIRECTORNOT APPLICABLE
HAGERTY, KATHLEENCORPORATE DIRECTORNOT APPLICABLE
LIGHTMAN, ANTHONYCORPORATE DIRECTORNOT APPLICABLE
PABST-STEINMETZ, MARGERYCORPORATE DIRECTORNOT APPLICABLE
RIGEL, ROBERTCORPORATE DIRECTORNOT APPLICABLE
SOLE, MARYCORPORATE DIRECTORNOT APPLICABLE
WANG, YOUCHENGCORPORATE DIRECTORNOT APPLICABLE
ANDERSON, PHILLIPCORPORATE OFFICERNOT APPLICABLE
FRANCIS, ALBERTCORPORATE OFFICERNOT APPLICABLE
GMSC FLORIDA LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology