The Village Of Legacy Pointe Nursing Facility - 4-Star Rehab Facility in Waukee, IA | PlacetAdmissions Contacts
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CMS Star Ratings
Last inspected: Apr 2025 (418 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
4/5
★★★★☆
Private Pay
State avg: 44 min · US avg: 41 min
Total Nurse / Resident / Day
4h 52m
State avg: 3h 50m · US avg: 3h 53m
2 min
State avg: 2 min · US avg: 4 min
43 per 100
State avg: 44 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
82%above avg
US avg: 64%
Total Nurse Weekend
4h 24m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: April 18, 2025(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: November 14, 2024(9 citations)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
Survey: August 24, 2023(21 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
Survey: June 16, 2022(18 citations)
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
30.3 per 100
State avg: 21.4 · US avg: 23.9
13.3 per 100
State avg: 13.1 · US avg: 12.0
5.0 per 100
State avg: 3.7 · US avg: 3.3
5.0 per 100
State avg: 4.3 · US avg: 5.1
1.5 per 100
State avg: 1.9 · US avg: 1.6
88.3 per 100
State avg: 73.3 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
52/100
Incentive Payment
+0.70% bonus
Healthcare-Assoc. Infections
4.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
17.2 days
Avg Payment / Stay
$8,700.94
Patient Complexity
2.53 × avg
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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ Minimal
Resident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
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