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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 - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 20, 2007 (10 years)
Capacity48
Residents41
Percent Occupied85%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
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 5 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

March 24, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

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.

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 50min
2hr 30min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
1hr 15min
55min
ReportedExpected
RN
4hr 30min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 60min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
100.0%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
40.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
27.3%
23.1%
16.7%
8.7%
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
29.6%
-
18.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
17.9%
10.3%
6.7%
6.5%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antipsychotic medication
14.3%
12.0%
10.0%
13.6%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
0.0%
0.0%
3.7%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who self-report moderate to severe pain
7.1%
6.9%
13.3%
3.2%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who lose too much weight
0.0%
3.8%
4.3%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
6.7%
3.2%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a urinary tract infection
14.3%
13.8%
10.0%
6.5%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents experiencing one or more falls with major injury
6.0%
2.8%
6.3%
9.1%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
100.0%
100.0%
85.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.5%
100.0%
100.0%
100.0%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
79.7%
81.8%
83.2%
74.5%
75.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who made improvements in function
12.0%
9.4%
9.2%
8.6%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who self-report moderate to severe pain
1.4%
1.4%
0.0%
0.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.8%
1.0%
1.0%
1.8%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents with pressure ulcers that are new or worsened