D69

LEGACY POINTE AT UCF

Grade D 69/100 composite score

Non profit - CorporationAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

48

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

2120 HESTIA LOOP, OVIEDO, FL 32765
4075436350

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.05h
LPN
0.95h
CNA
2.77h
Total
4.77h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CCRC DEVELOPMENT CORPORATION

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2023

100%

GMSC FLORIDA LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2020

BANGS, TERRY

IndividualCORPORATE DIRECTORSince Apr 2023

BLOOM, WARREN

IndividualCORPORATE DIRECTORSince Apr 2023

BOWERS, RUSSELL

IndividualCORPORATE DIRECTORSince Apr 2023

FRAME, ADRIENNE

IndividualCORPORATE DIRECTORSince Apr 2023

GOFF, BARRY

IndividualCORPORATE DIRECTORSince Apr 2023

HAGERTY, KATHLEEN

IndividualCORPORATE DIRECTORSince Apr 2023

LIGHTMAN, ANTHONY

IndividualCORPORATE DIRECTORSince Apr 2023

PABST-STEINMETZ, MARGERY

IndividualCORPORATE DIRECTORSince Apr 2023

RIGEL, ROBERT

IndividualCORPORATE DIRECTORSince Apr 2023

SOLE, MARY

IndividualCORPORATE DIRECTORSince Apr 2023

WANG, YOUCHENG

IndividualCORPORATE DIRECTORSince Apr 2023

ANDERSON, PHILLIP

IndividualCORPORATE OFFICERSince Apr 2023

FRANCIS, ALBERT

IndividualCORPORATE OFFICERSince Apr 2023

SMAAGE, KEVIN

IndividualW-2 MANAGING EMPLOYEESince Apr 2023

WEHMANN, DOMENICA

IndividualW-2 MANAGING EMPLOYEESince Apr 2023

U.S. BANK

Organization5% OR GREATER MORTGAGE INTERESTSince Dec 2019

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (17)

November 19, 2025Health2 deficiencies2 severe
0600JImmediate jeopardy, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 16, 2025
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 16, 2025
January 24, 2025Health8 deficiencies
0585DMinimal harm, Isolated

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

Corrected Feb 24, 2025
0623EMinimal harm, Pattern

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

Corrected Feb 24, 2025
0726EMinimal harm, Pattern

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

Corrected Feb 24, 2025
0761DMinimal harm, Isolated

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

Corrected Feb 24, 2025
0847FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Feb 24, 2025
0848FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Feb 24, 2025
0867EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Feb 24, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 24, 2025
November 16, 2023Health7 deficiencies
0561DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Dec 16, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 16, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 16, 2023
0726EMinimal harm, Pattern

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

Corrected Dec 16, 2023
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Dec 16, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Dec 16, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 16, 2023

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Frequently Asked Questions

What is the CareGrader rating for LEGACY POINTE AT UCF?

LEGACY POINTE AT UCF in OVIEDO, Florida has a CareGrader grade of D (Below Average), with a composite score of 69 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGACY POINTE AT UCF?

LEGACY POINTE AT UCF has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGACY POINTE AT UCF have?

LEGACY POINTE AT UCF has 17 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

How many beds does LEGACY POINTE AT UCF have?

LEGACY POINTE AT UCF has 48 certified beds with approximately 42 current residents (88% occupancy). The facility is located at 2120 HESTIA LOOP, OVIEDO, Florida 32765. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.