Legacy Pointe At Ucf - 2-Star Rehab Facility in Oviedo, FL | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 8.7%Falls causing major injury 7.46%Pressure ulcers (high-risk) 8.21%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Nov 2025 (200 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
3/5
★★★☆☆
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 44 min · US avg: 41 min
Total Nurse / Resident / Day
5h 14m
State avg: 3h 52m · US avg: 3h 53m
5 min
State avg: 5 min · US avg: 4 min
65 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
48%well below avg
US avg: 64%
Total Nurse Weekend
7h 25m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: November 19, 2025(6 citations)
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
Survey: January 24, 2025(24 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
Survey: November 16, 2023(21 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
27.5 per 100
State avg: 26.1 · US avg: 23.9
8.3 per 100
State avg: 9.3 · US avg: 12.0
7.5 per 100
State avg: 2.6 · US avg: 3.3
8.2 per 100
State avg: 5.1 · US avg: 5.1
1.3 per 100
State avg: 1.5 · US avg: 1.6
87.1 per 100
State avg: 94.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
47/100
Incentive Payment
+0.04% bonus
Healthcare-Assoc. Infections
6.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
N/A
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for Harm
Infection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for Harm
Resident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
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