Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Village Of Legacy Pointe Nursing Facility during CMS and state inspections, most recent first.
Surveyors identified unsanitary conditions in shower rooms and common areas, including mold-like substances on shower tiles, persistent water leaks, and significant dust and debris on HVAC vents. Staff confirmed these areas were used for resident care, and maintenance issues such as missing trim and unrepaired fixtures remained unresolved over several days.
A resident assessed as high risk for falls and who experienced a fall with injury did not have their fall risk addressed in their care plan. The DON confirmed that staff failed to include necessary fall risk interventions.
The facility has repeatedly failed to address sanitation deficiencies in the kitchen, as evidenced by citations during multiple surveys. Despite having a QAPI plan, the facility's QA program was ineffective in resolving these issues. The Administrator acknowledged the concerns but lacked authority over the kitchen, which is managed by the Executive Director of the Independent Living and Assisted Living sections.
The facility failed to maintain sanitary practices in food storage and preparation, with numerous items lacking open date labels and improper storage observed. Kitchen staff did not wear required beard hairnets, and the Maintenance Director entered the kitchen without a beard guard. Facility policies on food storage and staff hygiene were not followed, leading to unsanitary conditions.
A facility failed to document pre and post dialysis assessments for a resident receiving hemodialysis. Despite the resident's intact cognition and dependence on dialysis, the EHR lacked necessary orders and documentation. Staff interviews revealed inconsistencies in assessment documentation, and the DON confirmed the absence of a specific policy for dialysis assessments.
Deficient Sanitation and Maintenance in Resident Shower Rooms and Common Areas
Penalty
Summary
Surveyors observed multiple deficiencies related to the cleanliness and maintenance of resident shower rooms and heating/cooling vents within the facility. Photographs and direct observations revealed a significant buildup of dust, dirt, and debris on heating and cooling vents in the dining room ceiling and in the hallway outside the clean laundry room. Additionally, a black substance resembling mold was present on the wall and floor tiles in resident shower rooms, and this condition persisted over several days despite ongoing use of these areas for resident showers. Water was also observed to be continuously running from a shower head, contributing to the unsanitary conditions. Further observations noted missing trim from the inside of a shower room door and from the outer portion of a shared bathroom door between resident rooms, with these maintenance issues remaining unaddressed over multiple days. Staff interviews confirmed that the affected shower rooms were actively used for resident care during the period of observation. The facility had a census of 36 residents at the time of the survey.
Failure to Address High Fall Risk in Care Plan
Penalty
Summary
The facility failed to maintain a complete and accurate care plan tailored to the individual needs of a resident identified as being at high risk for falls. A fall risk assessment conducted on the resident resulted in a score indicating high risk, and the resident subsequently experienced a fall resulting in injury. Review of the resident's care plan revealed that it did not address the resident's fall risk, despite the assessment findings and the incident. The Director of Nursing Services confirmed that staff did not include fall risk interventions in the care plan as expected.
Repeated Sanitation Deficiencies in Kitchen Due to Ineffective QA Program
Penalty
Summary
The facility failed to maintain an effective Quality Assurance (QA) program, as evidenced by repeated deficiencies in sanitation practices in the kitchen. The facility's Quality Assurance and Performance Improvement (QAPI) Plan, revised in April 2014, was intended to monitor and improve the quality and safety of resident care. However, the facility has been cited for the same deficiency, F812, during multiple annual surveys conducted on 7/15/21, 6/16/22, 8/24/23, and the current survey. The Administrator acknowledged the ongoing sanitation concerns in the kitchen and stated that these issues would be addressed with the QAPI committee. Despite the Kitchen Director's participation in the QAPI committee, the Administrator reported having no authority or oversight over the kitchen or its staff, as it is managed by the Executive Director of the Independent Living and Assisted Living sections of the facility.
Sanitary Practices and Food Storage Deficiencies
Penalty
Summary
The facility failed to maintain sanitary practices in its food storage and preparation areas, as observed during a survey. In the Dry Storage Room, numerous food items such as powdered sugar, various types of noodles, and baked goods were found without open date labels. Additionally, some items like rice and chia seeds were not fully covered, and plastic lids and towels were improperly stored with food items. In the Main Refrigerator, several food items including brussel sprouts, minced garlic, and various meats were also missing open date labels, and some items were not fully covered. The Main Freezer was overcrowded with boxes stacked on the floor, limiting walking space, and a refrigerator contained undated salad dressings. The kitchen staff failed to adhere to proper hygiene protocols, as several staff members, including those preparing food, were not wearing beard hairnets. This was observed during multiple instances, including when staff were moving around the puree table and retrieving items from the freezer. The Maintenance Director, who also entered the kitchen without a beard guard, acknowledged the requirement for all staff with beards to wear beard guards in the kitchen. The Administrator confirmed the expectation for all kitchen staff to wear hair nets and beard guards, although she noted that oversight of the kitchen falls under the Executive Director of the Independent Living and Assisted Living part of the facility. The facility's policies, including the Proper Food Storage policy and Department Specific Procedures for Culinary Services, were not followed. These policies require food to be stored in airtight containers with proper labeling and dating, and mandate that kitchen staff wear clean uniforms and hairnets or caps. The failure to comply with these policies resulted in unsanitary conditions and potential contamination risks in the facility's food service operations.
Failure to Document Pre and Post Dialysis Assessments
Penalty
Summary
The facility failed to complete pre and post dialysis assessments for a resident who required such services. The resident, who has been receiving hemodialysis for the last four years, reported that he receives dialysis every Monday, Wednesday, and Friday but was unable to confirm whether staff routinely checked his vital signs before and after dialysis. The resident's Minimum Data Set (MDS) assessment indicated intact cognition and included diagnoses of Heart Failure, End-Stage Renal Disease (ESRD), and Diabetes Mellitus (DM), with a dependence on renal dialysis. However, the Electronic Health Record (EHR) lacked orders and documentation regarding pre-dialysis or post-dialysis assessments. Interviews with facility staff revealed inconsistencies in the documentation of dialysis assessments. Staff members indicated that pre and post-dialysis assessments should be documented in the resident's progress notes or the Vitals tab, but the EHR did not reflect this practice. The Director of Nursing (DON) confirmed that an assessment should be performed before and after the resident leaves for a procedure, but acknowledged the absence of a specific policy for pre and post-dialysis assessments. This lack of documentation and policy contributed to the deficiency identified by the surveyors.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 463 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Waukee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Deerfield Health Care Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Arbor Springs Of West Des Moines L L C | 2.8 mi | ★★★★★ | 2 | 0 |
| Walnut Ridge | 3.5 mi | ★★★★★ | 0 | 0 |
| Cedar Ridge Village | 3.5 mi | ★★★★★ | 9 | 0 |
| Edgewater, A Wesleylife Community | 4.1 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.