Inn at Freedom Village,the
35 Freedom Boulevard, West Brandywine, PA 19320
Inn at Freedom Village,the is a nursing home in West Brandywine, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionSeptember 13, 2024 (2 years ago)
- Health citations since December 8, 20225 (Pennsylvania average 31)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
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.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on September 13, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
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 October 10, 2024.
CMS has cited this home for F0684 2 times since 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 10, 2024.
Fire safety inspection on September 13, 2024
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 20, 2024.
Citation K0225. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on November 11, 2024.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on November 11, 2024.
Citation K0754. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on November 11, 2024.
Citation K0324. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on November 11, 2024.
Citation K0712. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on November 11, 2024.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on November 11, 2024.
CMS has cited this home for K0918 2 times since 2022.
CMS update of August 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on October 20, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on November 24, 2023.
Fire safety inspection on October 20, 2023
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
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 December 11, 2023.
CMS has cited this home for K0353 2 times since 2022.
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 December 11, 2023.
Citation K0531. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have elevators that firefighters can control in the event of a fire.
CMS lists it as corrected on December 11, 2023.
Citation K0100. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on December 11, 2023.
Citation K0345. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 11, 2023.
Citation K0761. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on December 11, 2023.
Citation K0914. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on December 11, 2023.
Health inspection on December 8, 2022
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 15, 2023.
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 15, 2023.
Fire safety inspection on December 8, 2022
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0929. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
CMS lists it as corrected on December 23, 2022.
Citation K0291. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 23, 2022.
Citation K0293. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on December 23, 2022.
Citation K0353. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 23, 2022.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 23, 2022.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (484) 288-2300
- Last standard health inspection
- September 13, 2024 (2 years ago)
- Certified beds
- 60
- Residents per day, on average
- 45.7
- Ownership type
- For profit - Corporation
- Legal business name
- Ccrc - Brandywine LLC
- Chain
- Healthpeak Properties, INC.
- Takes part in
- Medicare
Fewer health citations than the Pennsylvania average (5 vs 31).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CCRC OPCO VENTURES LLCDirect ownership interest · not applicable · since 03/19/2026
- CCRC OPCO VENTURES LLC5% or greater indirect ownership interest · 100% · since 03/19/2026
- HCP MA3 GP HOLDING, LLCIndirect ownership interest · not applicable · since 03/19/2026
- HCP VENTURES II TRS LLCIndirect ownership interest · not applicable · since 03/19/2026
- HEALTHPEAK OP LLCIndirect ownership interest · not applicable · since 02/10/2023
Show 6 more
- JANUS LIVING TRS LLCIndirect ownership interest · not applicable · since 03/19/2026
- OCEAN ACQUISITION I LLCIndirect ownership interest · not applicable · since 03/19/2026
- LIFE CARE SERVICES LLCOperational/managerial control · not applicable · since 02/01/2020
- GEYER, DANIELLEOperational/managerial control · not applicable · since 10/09/2022
- MALAWI, LORNAOperational/managerial control · not applicable · since 02/06/2023
- ULICHNEY, ANDREWOperational/managerial control · not applicable · since 01/01/2025
Questions
When was Inn at Freedom Village,the last inspected?
CMS lists September 13, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Inn at Freedom Village,the have?
CMS lists 5 health citations since December 8, 2022. CMS also calls these deficiencies.
Has Inn at Freedom Village,the been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Inn at Freedom Village,the?
Its CMS overall star rating is 5 of 5.
Is Inn at Freedom Village,the a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.