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 26 to 50 of 56 citations

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

  2. 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 October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

  3. 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 October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2024).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. No harm, with potential for minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of June 2, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

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.