Federal inspection record · CMS data as of October 1, 2026
Legacy Pointe At Ucf
2120 Hestia Loop, Oviedo, FL · (407) 543-6350
- Cited for abuse (CMS abuse icon)
- Certified beds
- 48
- Residents per day
- 41
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 16, 2023
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Florida homes
Legacy Pointe At Ucf carries 53 inspection points. That is fewer than 36% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration3F
- F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights3E
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Nursing and Physician Services3E
- 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.
- 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.
- C
Post nurse staffing information every day.
Pharmacy Service2D
- 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.
- D
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2026-03-19
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-01-24
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
2023-11-16
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 53 min of nursing staff time a day, 1 h 10 min of it from a registered nurse.
This home
5 h 53 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 82% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,345 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-19 | Fine | $8,672 |
| 2025-11-19 | Fine | $8,673 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse | 93.4% | 98.4% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.6 pts better | 1.8% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 2.9% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts better | 10.8% | 13.9% | 19.5% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts worse | 17.2% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 0.8% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.0% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11 pts worse | 20.5% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 6.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts worse | 90.0% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better | 8.7% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.1 pts worse | 89.2% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better | 25.6% | 25.8% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ccrc Development Corporation | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Anderson, Phillip | Corporate Officer · Individual | 0% | 1 facilities |
| Bangs, Terry | Corporate Director · Individual | 0% | 1 facilities |
| Bloom, Warren | Corporate Director · Individual | 0% | 1 facilities |
| Bowers, Russell | Corporate Director · Individual | 0% | 1 facilities |
| Frame, Adrienne | Corporate Director · Individual | 0% | 1 facilities |
| Francis, Albert | Corporate Officer · Individual | 0% | 1 facilities |
| Gmsc Florida LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Goff, Barry | Corporate Director · Individual | 0% | 1 facilities |
| Hagerty, Kathleen | Corporate Director · Individual | 0% | 1 facilities |
| Lightman, Anthony | Corporate Director · Individual | 0% | 1 facilities |
| Pabst-Steinmetz, Margery | Corporate Director · Individual | 0% | 1 facilities |
| Rigel, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Smaage, Kevin | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Sole, Mary | Corporate Director · Individual | 0% | 1 facilities |
| U.s. Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 42 facilities |
| Wang, Youcheng | Corporate Director · Individual | 0% | 1 facilities |
| Wehmann, Domenica | W-2 Managing Employee · Individual | 0% | 1 facilities |
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