Velarion Records

Skilled nursing facility · CMS certification number 106153

LEGACY POINTE AT UCF

OVIEDO, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 48

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $26,685.00 · Payment denials: 0. The most recent penalty on file: November 19, 2025, Fine, $13,343. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for December 16, 2023 to December 31, 2024 — a reporting period of 381 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,737,578CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$57,291CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,794,869CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,052,426CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,742,443CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$1,742,443CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,742,443 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components18,336CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days7,129CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days7,161CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components14,290CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges331CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges103CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components434CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days32.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433336, read from the public cost report file SNF10FY2024.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
CCRC DEVELOPMENT CORPORATION5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/17/2023
U.S. BANK5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 12/01/2019
BANGS, TERRYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
BLOOM, WARRENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
BOWERS, RUSSELLCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
FRAME, ADRIENNECORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
GOFF, BARRYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
HAGERTY, KATHLEENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
LIGHTMAN, ANTHONYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
PABST-STEINMETZ, MARGERYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
RIGEL, ROBERTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
SOLE, MARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
WANG, YOUCHENGCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/17/2023
ANDERSON, PHILLIPCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/17/2023
FRANCIS, ALBERTCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/17/2023
GMSC FLORIDA LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2020
SMAAGE, KEVINW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 04/17/2023
WEHMANN, DOMENICAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 04/17/2023

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CCRC DEVELOPMENT CORPORATION (enrollment ID O20230601001373).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CCRC DEVELOPMENT CORPORATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/17/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
U.S. BANKOrganization5% OR GREATER MORTGAGE INTEREST77.9212/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
ADRIENNE FRAMEIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTHONY LIGHTMANIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BARRY GOFFIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHLEEN HAGERTYIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGERY PABST-STEINMETZIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARY SOLEIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT RIGELIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RUSSELL BOWERSIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TERRY BANGSIndividualCORPORATE DIRECTORNot stated in the filing4/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WARREN BLOOMIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YOUCHENG WANGIndividualCORPORATE DIRECTOR04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ALBERT FRANCISIndividualCORPORATE OFFICER04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHILLIP M ANDERSONIndividualCORPORATE OFFICER04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GMSC FLORIDA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL10011/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
DOMENICA WEHMANNIndividualW-2 MANAGING EMPLOYEE04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN SMAAGEIndividualW-2 MANAGING EMPLOYEE04/17/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 19, 2026March 19, 202640
2January 24, 2025January 24, 202580
3November 16, 2023November 16, 202370

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

19 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 19, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionApril 19, 2026
March 19, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 19, 2026
November 19, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesPast Non-ComplianceOctober 16, 2025
November 19, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-ComplianceOctober 16, 2025
January 24, 2025HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DNoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.ENoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.ENoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.FNoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0848Administration DeficienciesProvide a neutral and fair arbitration process and agree to arbitrator and venue.FNoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.ENoDeficient, Provider has date of correctionFebruary 24, 2025
January 24, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionFebruary 24, 2025
November 16, 2023HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correctionDecember 16, 2023
November 16, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionDecember 16, 2023
November 16, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionDecember 16, 2023
November 16, 2023HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.ENoDeficient, Provider has date of correctionDecember 16, 2023
November 16, 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionDecember 16, 2023
November 16, 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionDecember 16, 2023
November 16, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionDecember 16, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
November 19, 2025Fine$13,343137565
November 19, 2025Fine$13,342137566

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameCCRC DEVELOPMENT CORPORATION
Date First Approved to Provide Medicare and Medicaid Services2023-12-16
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishSeminole
Telephone Number4075436350
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds48
Average Number of Residents per Day43.2
Overall Rating2
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for LEGACY POINTE AT UCF

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