Freedom Plaza Care Center
13714 North Plaza Del Rio Blvd, Peoria, AZ 85381
Freedom Plaza Care Center is a nursing home in Peoria, Arizona. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (623) 815-6100
- Last standard health inspection
- April 25, 2024 (2 years ago)
- Certified beds
- 111
- Residents per day, on average
- 56.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Freedom Plaza Operating Company LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the Arizona average (14 vs 21).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
2 citations
Health inspection on August 28, 2026
CMS lists this as a complaint inspection.
Citation F0804. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Citation F0805. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of March 25, 2026
Ownership
CMS no longer lists a chain for this home.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of December 20, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of July 31, 2024
Staffing
Total nurse staffing reported to CMS went from 6.0 to 5.1 hours per resident per day.
4 citations
Fire safety inspection on April 25, 2024
CMS lists this as a standard inspection.
Citation K0133. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install a two-hour-resistant firewall separation.
CMS lists it as corrected on June 26, 2024.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on May 22, 2024.
CMS has cited this home for K0355 2 times since 2021.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on June 26, 2024.
Citation E0026. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on May 28, 2024.
12 citations
Health inspection on November 12, 2021
CMS lists this as a standard inspection.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on January 3, 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 3, 2022.
Citation F0885. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Report COVID19 data to residents and families.
CMS lists it as corrected on January 3, 2022.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 3, 2022.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 3, 2022.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on January 3, 2022.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on January 3, 2022.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on January 3, 2022.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 3, 2022.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on January 3, 2022.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on January 3, 2022.
Citation F0732. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on January 3, 2022.
7 citations
Fire safety inspection on November 12, 2021
CMS lists this as a standard inspection.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 3, 2022.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 3, 2022.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on January 3, 2022.
Citation K0325. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed hallway dispensers for alcohol-based hand rub.
CMS lists it as corrected on January 3, 2022.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on January 3, 2022.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 3, 2022.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on January 3, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SUN HEALTH FREEDOM PLAZA, LLC5% or greater direct ownership interest · 100% · since 12/20/2024
- SUN HEALTH SERVICES5% or greater indirect ownership interest · 100% · since 04/04/2018
- FMC ARIZONA, LLCOperational/managerial control · not applicable · since 04/01/2018
- LA RUE, JOSEPHOperational/managerial control · not applicable · since 12/20/2024
- LARMAN, JAIOperational/managerial control · not applicable · since 04/04/2018
- LEWIS, IANOperational/managerial control · not applicable · since 05/29/2022
- MAKHIJA, MANOJOperational/managerial control · not applicable · since 04/04/2018
- ROSKAMP, CHERYLOperational/managerial control · not applicable · since 04/04/2018
Questions
When was Freedom Plaza Care Center last inspected?
CMS lists April 25, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Freedom Plaza Care Center have?
CMS lists 14 health citations since November 12, 2021. CMS also calls these deficiencies.
Has Freedom Plaza Care Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Freedom Plaza Care Center?
Its CMS overall star rating is 5 of 5.
Is Freedom Plaza Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.