Facility profile · CCN 555391
Freedom Village Healthcare Center
55 federal citations on record .
Record summary
Federal record · Q1 202655
Total citations
41
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
55 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 26, 2025 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| Nov 26, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Nov 26, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Nov 26, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 26, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard |
| Nov 26, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 26, 2025 | F761 | 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. | D | Standard |
| Nov 26, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Nov 26, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 26, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Nov 26, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Nov 26, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Standard |
| Nov 26, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Nov 26, 2025 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | B | Standard |
| Nov 26, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Nov 26, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Sep 26, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Dec 26, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint |
| Dec 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 6, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 24, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Complaint |
| Oct 24, 2024 | F803 | 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. | B | Complaint |
| Oct 24, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | B | Complaint |
| Oct 24, 2024 | F908 | Keep all essential equipment working safely. | D | Standard |
| Oct 24, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Oct 24, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 24, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Oct 24, 2024 | F849 | 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. | D | Standard |
| Oct 24, 2024 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Oct 24, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 24, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Oct 24, 2024 | F801 | 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. | D | Standard |
| Oct 24, 2024 | F761 | 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. | D | Standard |
| Oct 24, 2024 | F758 | 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. | D | Standard |
| Oct 24, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Oct 24, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 24, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 24, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Oct 24, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Oct 24, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Oct 24, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 10, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 10, 2023 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Feb 10, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 10, 2023 | F761 | 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. | D | Standard |
| Feb 10, 2023 | F758 | 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. | D | Standard |
| Feb 10, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 10, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 10, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Feb 10, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Feb 10, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 10, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Feb 10, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Feb 10, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Feb 10, 2023 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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