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The Village Of Legacy Pointe Nursing Facility

1645 Se Holiday Crest Circle, Waukee, IA 50263
5159873625
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Overall CMS Rating

4.0/5

vs State Average: 3.1 stars

3.0/5

Health Inspections

vs State Average: 2.9/5

5.0/5

Staffing Level

vs State Average: 3.5/5

4.0/5

Quality Measures

vs State Average: 3.4/5

0 penalties in last 3 years
Penalties
vs State Average: 0.9 penalties

About This Facility

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Ratings Deep Dive

Score
3.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Apr 18, 2025 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. E
Apr 18, 2025 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
Nov 14, 2024 Provide safe, appropriate dialysis care/services for a resident who requires such services. D
Nov 14, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Nov 14, 2024 Have a plan that describes the process for conducting QAPI and QAA activities. F
Score
5.0
State Average
3.5
National Average
2.9
0.9 RN Hours / Resident / Day
4.9 Total Nurse Hours / Resident / Day
40.0% RN Turnover Rate
Score
4.0
State Average
3.4
National Average
3.6
5.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
39.1 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST WELL SP TENANT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CSIG HOLDING COMPANY, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST STORYPOINT HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST WELLTOWER OP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST WELLTOWER TRS HOLDCO LLC
OPERATIONAL/MANAGERIAL CONTROL SENIOR VILLAGE MANAGEMENT LLC
CORPORATE DIRECTOR BURKE, KELLY
CORPORATE DIRECTOR SIMON, RUSSELL
CORPORATE OFFICER APPLE, LORI
W-2 MANAGING EMPLOYEE SMITHERMAN-HINRICHS, ELLEN
Recent Penalties

No penalty records found.

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