Nursing Care Index

Legacy Pointe At Ucf

Oviedo, Seminole County, Florida · CCN 106153 · Non-profit (Corporation) · not part of a chain

CMS rates Legacy Pointe At Ucf 2 of 5 overall as of August 2026. 48 certified beds, 43 residents a day on average. 19 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $26,685.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / 5 of 5

Staffing

Total nurse staffing5.16997 hours per resident per day
Registered nurses0.94979 hours per resident per day
Weekend total4.56434 hours per resident per day
Nursing staff turnover71.3% (registered nurses 88.9%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-19 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 · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-19
2026-03-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-19
2025-11-19
complaint survey
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 · tag F0600
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2025-10-16
2025-11-19
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2025-10-16
2025-01-24 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · tag F0847
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-02-24
2025-01-24 Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies · tag F0848
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-02-24
2025-01-24 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 · tag F0623
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-24
2025-01-24 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 · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-24
2025-01-24 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-24
2025-01-24 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 · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-24
2025-01-24 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 · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-24
2025-01-24 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-24
2023-11-16 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 · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-16
2023-11-16 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-16
2023-11-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-16
2023-11-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-16
2023-11-16 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-16
2023-11-16 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-16
2023-11-16 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-12-16

Fines and payment denials

DatePenaltyAmount
2025-11-19Fine$13,343
2025-11-19Fine$13,342

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Ccrc Development Corporation
Organization
5% or greater direct ownership interest100%2023-04-17
U.S. Bank
Organization
5% or greater mortgage interest2019-12-01
Gmsc Florida LLC
Organization
operational/managerial control2020-11-01
Bangs, Terry
Individual
corporate director2023-04-17
Bloom, Warren
Individual
corporate director2023-04-17
Bowers, Russell
Individual
corporate director2023-04-17
Frame, Adrienne
Individual
corporate director2023-04-17
Goff, Barry
Individual
corporate director2023-04-17
Hagerty, Kathleen
Individual
corporate director2023-04-17
Lightman, Anthony
Individual
corporate director2023-04-17
Pabst-Steinmetz, Margery
Individual
corporate director2023-04-17
Rigel, Robert
Individual
corporate director2023-04-17
Sole, Mary
Individual
corporate director2023-04-17
Wang, Youcheng
Individual
corporate director2023-04-17
Anderson, Phillip
Individual
corporate officer2023-04-17
Francis, Albert
Individual
corporate officer2023-04-17
Smaage, Kevin
Individual
w-2 managing employee2023-04-17
Wehmann, Domenica
Individual
w-2 managing employee2023-04-17

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Seminole County.