Legacy Pointe at Ucf
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Oviedo, FL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Legacy Pointe at Ucf

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Oviedo, FL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Overview of Legacy Pointe at Ucf

Legacy Pointe at Ucf is an 86-bed, non-profit community offering assisted living, memory support, and rehabilitation services. The facility features a formal partnership with the University of Florida system, 24-hour staffing, short-term respite care, and an average of 6 hours and 7 minutes of nursing attention per resident each day.

Government compliance logs stretching across the property’s three years of operation detail 10 total citations across eight distinct state evaluations. This overall volume calculates to 1.8 infractions per year, which outpaces the standard Florida baseline by 61%. Because each of these eight visits turned up at least one regulatory mark, the facility has rarely maintained a zero citations-per-inspection rate for an entirely unblemished review.

The community initially opened in 2022 and cleared its early 2023 reviews with no issues, but state files show a notable shift during an August 2024 routine audit that uncovered five deficiencies involving medication storage, food service, and elopement precautions. Although the team secured a clear complaint review in late 2024, back-to-back complaint investigations in April and August of 2025 each resulted in a single Class 2 citation regarding resident care supervision. To date, the provider has never been penalized with financial fines or severe administrative state actions.

Families looking over regional senior care choices can analyze these multi-year timelines to track the facility’s recent operational adjustments. Since the latest 2025 health department filings highlight challenges regarding staff supervision and older notes on dietary standards, requesting a detailed overview from the administration about their updated safety training is a sensible precaution. Arranging an in-person tour also remains an excellent method to observe the physical therapy areas yourself and see how the staff handles daily memory care routines.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 68.5% Below FL avg. ▼ 68.5% Below FL avg.FL average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 28.9% Below FL avg. ▼ 28.9% Below FL avg.FL average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 70.4% Below FL avg. ▼ 70.4% Below FL avg.FL average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 1.4% Below FL avg. ▼ 1.4% Below FL avg.FL average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Florida state averages

Total nursing care / resident Info This home is ranked 6th out of 181 homes in Florida for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 7m per day
Rank #6 / 181Nurse hours — State benchmarkedThis home is ranked 6th out of 181 homes in Florida for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 181 Florida facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Florida avg (4h 2m per day)
vs Florida avg
+52%

0 of 1 metrics below state avg

Standout metric Weekend Total Nursing is +58% above state avg
Staff typeHours / Day / Residentvs state avg
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 5h 34m per day ▲ 58% State avg: 3h 31m per day · National avg: 3h 26m per day
Bed community size
86-bed community Rank #550 / 1058Bed count — State benchmarkedThis home is ranked 550th out of 1058 homes in Florida for bed count. Shows this facility's certified or reported bed count compared to other Florida facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 23 / 100 Rank #1035 / 1487Walk Score — State benchmarkedThis home is ranked 1035th out of 1487 homes in Florida for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Florida facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A- (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
51%
Rank #117 / 125Occupancy rate — State benchmarkedThis home is ranked 117th out of 125 homes in Florida for occupancy. Shows this facility's occupancy rate versus the Florida average, with its Statewide rank out of 125. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Florida average: 84.3%
Occupied beds
44 / 86
Average occupied beds in Florida homes 108 beds

License Details

Facility TypeAssisted Living Facility
IssuanceAugust 26, 2024
ExpirationAugust 25, 2026
CountySeminole
License Number13741
RCFE NumberCOA# 44067

Ownership & Operating Entity

Legacy Pointe at Ucf is legally operated by Ccrc Development Corporation, and administered by Justin Yelken.

Management CompanyGMSC FLORIDA LLC
Owner NameCcrc Development Corporation
Profit StatusNonprofit

Type Of Units

Private
86 units
Total beds
86 units

Staffing

Key information about the people who lead and staff this community.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed
Continuing Care Retirement Community (CCRC)

Amenities & Lifestyle

Dining
Events
Specific ProgramsMemory Support, UCF Affiliation

Contact Legacy Pointe at Ucf

Inspection History

In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.

Since 2022 · 4 years of data 10 citations 9 inspections 2 fines $10.0K fined
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Florida state average. The score below shows how many points this facility sits above or below the typical Florida nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

5 points above the Florida average for nursing homes (83/100)

Rank #383 / 876 in Florida Inspection Score — State benchmarked This home is ranked 383rd out of 876 homes in Florida for inspection score. Shows this facility's inspection score compared to the Florida average among 876 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 88 out of 100. Letter grade B+. 5 points above the Florida average for nursing homes (83/100)

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Florida state average
Overall vs. FL average 1 Worse Metrics worse than Florida average:
• Inspection citation rate (8% above)
3 Better Metrics better than Florida average:
• Total citations (70% below)
• Citations per inspection (15% below)
• Inspections with citations (63% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityFL Averagevs. FL Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 1033 This facility has 70% fewer total citations than a typical Florida nursing home (10 vs. FL avg 33).↓ 70% better Rank #123 / 907 Total citations — State benchmarked This home is ranked 123rd out of 907 homes in Florida for total citations. Shows this facility's total citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.
Citations per inspection Info Average citations per inspection. 1.11.3 This facility has 15% fewer citations per inspection than a typical Florida nursing home (1.1 vs. FL avg 1.3).↓ 15% better Rank #320 / 907 Citations per inspection — State benchmarked This home is ranked 320th out of 907 homes in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityFL Averagevs. FL Avg
Total inspections Info Combined count of all inspections conducted at this facility. 926 This facility has had 65% fewer total inspections than the Florida average (9 vs. FL avg 26). More inspections can mean more regulatory scrutiny rather than worse care.↓ 65% fewer
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 616 This facility has 63% fewer inspections with citations than a typical Florida nursing home (6 vs. FL avg 16).↓ 63% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 67%62% This facility has 5 percentage points higher inspection citation rate than a typical Florida nursing home (67% vs. FL avg 62%).↑ 5% worse Rank #609 / 907 Inspection citation rate — State benchmarked This home is ranked 609th out of 907 homes in Florida for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • August 21, 2025 complaint inspection found two class 2 deficiencies for resident care supervision.
  • April 22, 2025 complaint inspection found one class 2 deficiency for resident care supervision with a correction date.
  • August 6, 2024 routine inspection found five class 3 deficiencies in resident care, medication storage, staffing, and food service.

Health Inspection History

Inspections since 2023
Total health inspections 2

State average 4.3


Last Health inspection on Jan 2025

Total health citations
15 Rank #68 / 181Health citations — State benchmarkedThis home is ranked 68th out of 181 homes in Florida for health citations. Shows this facility's total health deficiency citations benchmarked to the Florida State average, with a ranking across all 181 FL facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 19.7

Citations per inspection
7.5 Rank #167 / 181Citations per inspection — State benchmarkedThis home is ranked 167th out of 181 homes in Florida for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Florida mean across 181 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.48


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 0.8


Serious health citations
0
100% better than State average

State average: 0.4

0 critical citations State average: 0.8

0 serious citations State average: 0.4

14 moderate citations State average: 18.4

1 minor citation State average: 0.2
Citations history (last 3 years)
Administration moderate citation Jan 24, 2025
Corrected

Administration moderate citation Jan 24, 2025
Corrected

Administration moderate citation Jan 24, 2025
Corrected

Infection Control moderate citation Jan 24, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 118
Employees 78
Contractors 40
Staff to resident ratio 2.81 : 1
91% more staff per resident than Florida average
Florida average ratio: 1.47 : 1 Florida average ratio: 1.47 : 1See full Florida ranking
Avg staff/day 36
Average shift 7.2 hours
9% worse than Florida average
Florida average: 7.9 hours Florida average shift: 7.9 hoursSee full Florida ranking
Total staff hours (quarter) 23,789

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 18 total: 15 full-time employees and 3 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 29 total: 17 full-time employees and 12 contractors. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 48 total: 42 full-time employees and 6 contractors. 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

16.7%

3,975 contractor hours this quarter

Licensed Practical Nurse: 12 Certified Nursing Assistant: 6 Physical Therapy Aide: 4 Qualified Social Worker: 4 Speech Language Pathologist: 4 Respiratory Therapy Technician: 3 Registered Nurse: 3 Physical Therapy Assistant: 1 Medical Director: 1 Therapeutic Recreation Specialist: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4264811,53492100%7.7
Licensed Practical Nurse1712293,81992100%7.8
Registered Nurse153182,78192100%7.2
Speech Language Pathologist0449087582%5.6
Physical Therapy Aide0447977885%6
Clinical Nurse Specialist1017407582%9.9
Qualified Social Worker0445546267%6.3
Nurse Practitioner1014966267%8
Administrator1014645863%8
Physical Therapy Assistant0114648592%5.5
RN Director of Nursing1014165155%8.1
Respiratory Therapy Technician0333807278%2.9
Therapeutic Recreation Specialist0113146571%4.8
Occupational Therapy Aide011992426%4.1
Medical Director011261516%1.7
48 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 100%
4 Speech Language Pathologist
% of Days 82%
4 Physical Therapy Aide
% of Days 85%
1 Clinical Nurse Specialist
% of Days 82%
4 Qualified Social Worker
% of Days 67%
1 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 63%
1 Physical Therapy Assistant
% of Days 92%
1 RN Director of Nursing
% of Days 55%
3 Respiratory Therapy Technician
% of Days 78%
1 Therapeutic Recreation Specialist
% of Days 71%
1 Occupational Therapy Aide
% of Days 26%
1 Medical Director
% of Days 16%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.0
75% worse than Florida average

Florida average: 7.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.3
64% worse than Florida average

Florida average: 12.4

Long-stay resident measures
Below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 20.0%
91% worse than Florida average

Florida average: 10.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.6%
52% worse than Florida average

Florida average: 13.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.8%
195% worse than Florida average

Florida average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 15.1%
183% worse than Florida average

Florida average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
80% worse than Florida average

Florida average: 0.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.9%
48% worse than Florida average

Florida average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Florida average

Florida average: 3.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.9%
36% worse than Florida average

Florida average: 8.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
In line with Florida average

Florida average: 97.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.21
5% worse than Florida average

Florida average: 2.10

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.13
81% worse than Florida average

Florida average: 1.18

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.1%
In line with Florida average

Florida average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
In line with Florida average

Florida average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.1%
8% worse than Florida average

Florida average: 94.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.5%
5% worse than Florida average

Florida average: 26.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.3%
11% better than Florida average

Florida average: 9.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.7%
12% better than Florida average

Florida average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 62.0%
16% better than Florida average

Florida average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 64.9%
28% better than Florida average

Florida average: 50.6%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 42
Medicare
22
52.4% of residents
Private pay or other
20
47.6% of residents
Programs & Services
CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Activities in this home

Places of interest near Legacy Pointe at Ucf

Address 0.9 miles from city center Info Estimated distance in miles from Oviedo's city center to Legacy Pointe at Ucf's address, calculated via Google Maps.

Calculate Travel Distance to Legacy Pointe at Ucf

Add your location

Address

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Ccrc Development Corporation---106153

Frequently Asked Questions about Legacy Pointe at Ucf

What languages are spoken at Legacy Pointe at Ucf?

The team at Legacy Pointe at Ucf speaks English.

Who is the owner of Legacy Pointe at Ucf?

Legacy Pointe at Ucf is legally operated by Ccrc Development Corporation, and administered by Justin Yelken.

Is Legacy Pointe at Ucf in a walkable area?

Legacy Pointe at Ucf has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Legacy Pointe at Ucf?

According to FL state health department records, Legacy Pointe at Ucf's license number is 13741.

When does Legacy Pointe at Ucf's license expire?

According to FL state health department records, Legacy Pointe at Ucf's license expires on August 25, 2026.

What is the occupancy rate at Legacy Pointe at Ucf?

Legacy Pointe at Ucf's occupancy is 51%.

Are pets allowed at Legacy Pointe at Ucf?

No, Legacy Pointe at Ucf has a no-pet policy.

Guides for Better Senior Living

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