Freedom Village Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Nov 26, 2025

  Based on interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure the food items inside the refrigerator used for the residents' food brought in from outside sources were properly labeled, discarded after use-by date, and the bins were cleaned. * The facility failed to ensure the ice machine was clean. * The facility failed to ensure the plate conveyor was free of accumulation of dirt. * The facility failed to air-dry the bin containing the scoops. […]

• No harm, potential for more than minimal, patternF812Oct 24, 2024

  Based on observation, interview, and facility document review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen when: * The facility failed to ensure the kitchen utensils and equipment were stored or kept in sanitary conditions. * The facility failed to ensure the kitchen equipment were cleaned properly. * The facility failed to ensure a juice machine had an air gap for back flow prevention. These failures had the potential to pose the risk for exposure to food-borne illnesses in a medically vulnerable population of 42 residents received food prepared in the kitchen. Findings: Review of the facility's matrix showed 42 residents consumed food prepared in the facility's kitchen. 1. […]

• No harm, potential for more than minimal, patternF812Feb 10, 2023

  Based on observation, interview, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure the expired food items in the walk-in refrigerator and dry storage area were discarded. * The facility failed to ensure the labeling and dating of foods in the kitchen and refrigerator used for the residents' food brought in by the visitors were proper. * The facility failed to ensure the kitchen equipment was clean. * The facility failed to ensure the resident dishware and utensils had a smooth cleanable surface. * The facility failed to ensure the sanitizer test strips had not expired. * The facility failed to ensure the backflow prevention of one air gap was properly maintained. […]

• No harm, potential for more than minimal, patternF880Feb 10, 2023

  Based on observation, interview, medical record review, facility P&P review, and facility document review, the facility failed to maintain the infection control program designed to provide the safe environment and reduce the risk of development of illnesses and transmission of diseases. * The facility failed to show documentation of the Legionella (a bacteria that can cause a serious type of lung infection) facility risk assessment and testing protocols. * The facility failed to implement proper hand hygiene and changing gloves during wound care. * The facility failed to ensure a confirmed COVID-19 case was assessed every four hours for respiratory rates, temperatures, and oxygen saturation levels as per the facility's P&P for Resident 25. […]

• No harm, potential for more than minimal, isolatedF554Nov 26, 2025

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to determine if it was safe to self-administer the medications left at the bedside for two of twelve final sampled residents (Resident 66 and 68). * Resident 66 had three tablets of Renvela (phosphate binder) in a medication cup at the bedside, and the resident was observed taking the Renvela medications by herself. However, Resident 66 was assessed to not be safe in self-administering medications. In addition, there were no physician's order and a care plan addressing the resident's self-administration of the medication. * Resident 68 was observed with a bottle of nasal spray at bedside. However, Resident 68 was assessed to not be safe in self-administering the medications. […]