Deficiency Index

Freedom Pointe Health Center

The Villages, Florida · CCN 106083

17 surveys since 2010. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
62
Surveys
17
Harm or worse
2
Immediate jeopardy
2
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
72
Ownership
For profit - Limited Liability company
Chain
HEALTHPEAK PROPERTIES, INC.
County
Lake
Medicare-certified since
2009

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Jan 29, 2026

284 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.613.65
Registered-nurse hours per resident day1.13—
Annual nurse turnover32.9%40.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1482.4%E317.6%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 62 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F6842×

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

  • F6952×

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

  • F7612×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Freedom Pointe Health Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Nov 4, 2021

    Based on observation, interview, and record review, the facility failed to ensure food was stored in accordance with professional standards for food service safety. Findings: During an initial tour of the kitchen on 11/1/2021 at 9:06 AM with the Certified Dietary Manager (CDM), a walk-through of the walk-in cooler showed a large clear container with leftover hotdogs with no label or date, a container of food labeled as brussel sprouts by the [NAME] with a fuzzy substance on the product, a container of food labeled as lemons by the [NAME] with a fuzzy substance on the product, and an approximate 1/4 open container of food labeled as pesto with no opened date. […]

  • No harm, potential for more than minimal, patternF692Aug 22, 2024

    Based on observation, interview, and record review, the facility failed to ensure 2 of 5 residents reviewed for weight loss, Residents #12 and #14, received nutritional supplements. Findings include: 1) During an observation on 8/20/2024 at 12:18 PM, Resident #12 was sitting in a recliner, eating independently in her room. The resident's tray contained two cups of soup, apple juice, and coffee. There was no magic cup on the tray. During an observation on 8/21/2024 at 12:10 PM, Resident #12 was sitting in a recliner, eating independently in her room. The resident's tray contained tuna salad, curly fries, pie, and vanilla ice cream. […]

  • No harm, potential for more than minimal, patternF578Apr 13, 2023

    Based on record review and interview the facility failed to ensure residents received information related to the right to formulate an advance directive upon admission for 8 (Resident #26, #58, #123, #173, #174, #222, #224, and #325) of 18 residents sampled for advance directives review. Findings include: Record review of Resident #26's admission record documented Resident #26 was admitted to the facility on [DATE] with diagnoses that included essential hypertension, chronic obstructive pulmonary disease, end stage renal disease and hyperlipidemia. Record review of Resident #26's Advance Directives Policy and Record on 4/12/2023 documented Resident #26 had not been provided information related to the right to formulate an advance directive until 4/11/2023. […]

  • No harm, potential for more than minimal, patternF812Apr 13, 2023

    Based on observation, interview, and record review, the facility failed to ensure food was safely stored, covered, labeled, or discarded in the areas of the kitchen coolers and freezers, and failed to ensure equipment was cleaned and sanitized before use (Photographic evidence obtained). Findings include: During an observation at the time of initial walk-through tour of the kitchen on [DATE] at 9:16 AM with the Certified Dietary Manager (CDM), there were a large container with what appeared to be approximately 20 pieces of fresh raw chicken with red bloody fluids surrounding the bottom of the container in the walk-in cooler, a container of food that had a product with Fresh Sliced Mushrooms label by the [NAME], with no received or expiration date, and a partial box of frozen raw beef… […]

  • No harm, potential for more than minimal, isolatedF684Jan 29, 2026

    Based on observation, interview, and record review the facility failed to ensure wound care and treatment was provided according to professional standards for 3 of 6 residents, Residents #4, #15, and #40, reviewed for skin conditions.Findings include:1) During an observation on 1/26/2026 at 9:45 AM Resident #15 had a wound gauze dressing wrapped to the left upper arm that was not dated.During an interview on 1/26/2026 at 9:45 AM Resident #15 stated, The wound vac [vacuum, used to treat wounds] is not connected because when they were going to change it, they realized they did not have supplies for the suction.Review of Resident #15's physician order dated 1/9/2026 read, Cleanse: NPWT [Negative Pressure Wound Therapy] to Left Axilla @ 125 mmhg [at 125 millimeters of mercury] pressure. […]

Read 22 findings in full →The most serious and the most recent: 22 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 29, 2026Standard5 findings
  • Aug 22, 2024Standard6 findings
  • Apr 13, 2023Standard6 findings
  • Nov 4, 2021Standard2 findings
  • Feb 20, 2020Standard3 findings
  • Oct 25, 2019Complaint2 findings · 2 harm
  • Sep 11, 2019Complaint1 finding
  • May 2, 2019Complaint1 finding
Show the 9 earlier surveys
  • Jan 31, 2019Standard9 findings
  • Oct 19, 2017Standard8 findings
  • Jan 12, 2017Standard3 findings
  • Sep 17, 2015Standard2 findings
  • Dec 15, 2014Complaint1 finding
  • Jul 11, 2014Standard2 findings
  • Nov 26, 2013—4 findings
  • Apr 25, 2013—1 finding
  • Dec 16, 2010—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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