B86

The Village of Legacy Pointe Nursing Facility

Grade B 86/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

46

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

1645 SE Holiday Crest Circle, Waukee, IA 50263
5159873625

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.99h
LPN
0.43h
CNA
3.67h
Total
5.09h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WELL SP TENANT LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2019

100%

CSIG HOLDING COMPANY, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2019

STORYPOINT HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2019

WELLTOWER INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2019

WELLTOWER TRS HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2019

SENIOR VILLAGE MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2019

BURKE, KELLY

IndividualCORPORATE DIRECTORSince Nov 2019

SIMON, RUSSELL

IndividualCORPORATE DIRECTORSince Nov 2019

APPLE, LORI

IndividualCORPORATE OFFICERSince Nov 2019

SMITHERMAN-HINRICHS, ELLEN

IndividualW-2 MANAGING EMPLOYEESince Mar 2021

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (18)

April 18, 2025Health2 deficiencies
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected May 5, 2025
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected May 5, 2025
November 14, 2024Health3 deficiencies
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Nov 20, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 20, 2024
0865FMinimal harm, Widespread

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies

Corrected Nov 20, 2024
August 24, 2023Health7 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 22, 2023
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 22, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 22, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Sep 22, 2023
0803DMinimal harm, Isolated

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Sep 22, 2023
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Sep 22, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 22, 2023
June 16, 2022Health6 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Jun 30, 2022
0637BNo harm, Pattern

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected Jun 30, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 30, 2022
0732BNo harm, Pattern

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jun 30, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 30, 2022
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jun 30, 2022

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Frequently Asked Questions

What is the CareGrader rating for The Village of Legacy Pointe Nursing Facility?

The Village of Legacy Pointe Nursing Facility in Waukee, Iowa has a CareGrader grade of B (Good), with a composite score of 86.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for The Village of Legacy Pointe Nursing Facility?

The Village of Legacy Pointe Nursing Facility has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does The Village of Legacy Pointe Nursing Facility have?

The Village of Legacy Pointe Nursing Facility has 18 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does The Village of Legacy Pointe Nursing Facility have?

The Village of Legacy Pointe Nursing Facility has 46 certified beds with approximately 39 current residents (85% occupancy). The facility is located at 1645 SE Holiday Crest Circle, Waukee, Iowa 50263. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.