All citations for Freedom Village Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Freedom Village Healthcare Center

Last standard health inspection on record

November 26, 2025

Showing 1 to 25 of 27 citations

  1. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  3. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  4. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  5. No harm, with potential for more than minimal harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  6. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  7. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  8. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  9. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  10. No harm, with potential for more than minimal harm

    Assist a resident in gaining access to vision and hearing services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  11. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  12. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  13. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  14. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  16. No harm, with potential for more than minimal harm

    Provide or get specialized rehabilitative services as required for a resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2023).

  17. No harm, with potential for more than minimal harm

    Provide family notifications of emergency plan.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  18. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  19. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  20. No harm, with potential for more than minimal harm

    Provide properly sized and located linen or trash receptacles.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  21. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  22. No harm, with potential for more than minimal harm

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  23. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  24. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  25. No harm, with potential for minimal harm

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.