Legacy Pointe at Ucf
2120 Hestia Loop, Oviedo, FL 32765 · Seminole County · 48 certified beds · avg 43 residents/day · certified since Dec 16, 2023
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 19, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 16, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Nov 19, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 16, 2025 (Past Non-Compliance)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 19, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 19, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 16, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2025 | 10 | 2 | J ▲ |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $26,685.
| Date | Type | Amount / length |
|---|---|---|
| Nov 19, 2025 | Fine | $13,342 |
| Nov 19, 2025 | Fine | $13,343 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.77 | 4.03 | 3.95 | top 11% in Florida; top 17% in the U.S. |
| Registered Nurse hours | 0.88 | 0.76 | 0.69 | top 29% in Florida; top 22% in the U.S. |
| Weekend total nurse staffing | 4.21 | 3.68 | 3.50 | top 12% in Florida; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.53 | 0.48 | top 40% in Florida; top 31% in the U.S. |
| Total nursing staff turnover (%) | 71.3 | 41.4 | 45.8 | bottom 1% in Florida; bottom 5% in the U.S. |
| RN turnover (%) | 88.9 | 46.0 | 42.9 | bottom 1% in Florida; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.17, RN 0.95, weekend 4.56. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CCRC Development Corporation | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/17/2023 |
| Anderson, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 04/17/2023 |
| Bangs, Terry | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Bloom, Warren | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Bowers, Russell | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Frame, Adrienne | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Francis, Albert | Individual | Corporate Officer | NOT APPLICABLE | 04/17/2023 |
| GMSC Florida LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Goff, Barry | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Hagerty, Kathleen | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Lightman, Anthony | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Pabst-Steinmetz, Margery | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Rigel, Robert | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Smaage, Kevin | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/17/2023 |
| Sole, Mary | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| U.s. Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/01/2019 |
| Wang, Youcheng | Individual | Corporate Director | NOT APPLICABLE | 04/17/2023 |
| Wehmann, Domenica | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/17/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Tuskawilla Nursing and Rehab Center | 3.5 mi | Winter Springs, FL | ★★★★★ | 4/5 | |
| Life Care Center of Orlando | 3.8 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Regents Park of Winter Park | 6.7 mi | Winter Park, FL | ★☆☆☆☆ | 1/5 | |
| Winter Park Care and Rehabilitation | 6.8 mi | Winter Park, FL | ★☆☆☆☆ | 2/5 | |
| Palm Garden of Orlando | 7.0 mi | Orlando, FL | ★★★★☆ | 3/5 | |
| Mayflower Healthcare Center | 7.3 mi | Winter Park, FL | ★★★★★ | 5/5 | |
| Parkview Rehabilitation Center at Winter Park | 7.8 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Avante at Orlando INC | 8.0 mi | Orlando, FL | ★★★☆☆ | 3/5 | |
| Longwood Health and Rehabilitation Center | 8.1 mi | Longwood, FL | ★☆☆☆☆ | 1/5 | |
| Alwyn C Cashe State Veterans Nursing Home | 8.3 mi | Orlando, FL | ★☆☆☆☆ | 2/5 | abuse |
| Solaris Healthcare East Orlando | 8.4 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Westminster Winter Park | 8.5 mi | Winter Park, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 106153.