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 13 of 13 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

    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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, 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).

  13. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, 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).

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.