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 51 to 75 of 75 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2025).

  13. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. No harm, with potential for minimal harm

    The resident has the right to receive notices in a format and a language he or she understands.

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

    Health citation F-0574, Resident Rights Deficiencies. Inspection of November 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  21. No harm, with potential for minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of November 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  22. 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 November 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  23. 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 December 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 13, 2025).

  24. No harm, with potential for minimal harm

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

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

    Health citation F-0695, Quality of Life and Care 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).

  25. No harm, with potential for minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary 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).

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.