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The Village At Legacy Pointe Nursing Facility

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About The Village At Legacy Pointe Nursing Facility

General Information

Legal Business NameWatermark Waukee, LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 20, 2007 (9 years)
Capacity48
Residents43
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Village At Legacy Pointe Nursing Facility

The Village At Legacy Pointe Nursing Facility
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Iowa Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

May 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

May 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

March 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

March 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
BSomePotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

January 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

December 12, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

August 13, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 72 days
---Fine$9,783 fine

January 10, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 55 days
---Fine$6,630 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Village At Legacy Pointe Nursing Facility require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr 35min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
1hr 5min
55min
ReportedExpected
RN
4hr 10min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
100.0%
100.0%
97.4%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
95.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
39.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
17.4%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
16.4%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
6.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
3.9%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
5.9%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
6.2%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.6%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
4.1%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
0.5%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
100.0%
86.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
97.7%
93.5%
93.5%
84.8%
Q1 2015Q2 2015Q3 2015IA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
7.3%
4.2%
7.2%
17.7%
Q1 2015Q2 2015Q3 2015IA
Self Report Moderate to Severe Pain
4.5%
2.5%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015IA
Newly Received an Antipsychotic Medication
1.5%
1.4%
0.7%
1.7%
Q1 2015Q2 2015Q3 2015IA
With Pressure Ulcers That Are New or Worsened