01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-19 | 4 | 2026-03-19 | 0 |
| Cycle 2 | 2025-01-24 | 8 | 2025-01-24 | 0 |
| Cycle 3 | 2023-11-16 | 7 | 2023-11-16 | 0 |
CMS CCN 1061532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Legacy Pointe At Ucf
2120 Hestia Loop · Oviedo, FL 32765 · Seminole County
Certified beds48CMS provider file
Recent citation rows19current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
19 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-04-192026-03-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-192025-11-19 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2025-10-16 · complaint2025-11-19 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-10-16 · complaint2025-01-24 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0726Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0847Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0848Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2025-02-242025-01-24 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-242023-11-16 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2023-12-162023-11-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-12-162023-11-16 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-12-162023-11-16 · HEALTHF0726Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-12-162023-11-16 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2023-12-162023-11-16 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2023-12-162023-11-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-12-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-19 | Fine | $13,342 | 0 |
| 2025-11-19 | Fine | $13,343 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CCRC DEVELOPMENT CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/17/2023
- U.S. BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 12/01/2019
- SMAAGE, KEVINIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/17/2023
- WEHMANN, DOMENICAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/17/2023
- BANGS, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- BLOOM, WARRENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- BOWERS, RUSSELLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- FRAME, ADRIENNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- GOFF, BARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- HAGERTY, KATHLEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- LIGHTMAN, ANTHONYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- PABST-STEINMETZ, MARGERYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- RIGEL, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- SOLE, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- WANG, YOUCHENGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2023
- ANDERSON, PHILLIPIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/17/2023
- FRANCIS, ALBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/17/2023
- GMSC FLORIDA LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.17per resident day
RN hours0.95per resident day
Weekend nurse hours4.56per resident day
Staff turnover71.3%CMS reported field
06 / LOCAL RECORDS
Open the Florida ledger →Other published facilities nearby
No second facility in the same city met the directory rule.