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Freedom Square Rehabilitation & Nursing Services

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About Freedom Square Rehabilitation & Nursing Services

General Information

Legal Business NameCcrc Opco Freedom Square LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 19, 2002 (15 years)
Capacity116
Residents105
Percent Occupied91%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Freedom Square Rehabilitation & Nursing Services

Freedom Square Rehabilitation & Nursing Services
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Florida Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 11, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.

September 9, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

June 13, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

June 12, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Freedom Square Rehabilitation & Nursing Services require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 20min
2hr 40min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
5hr 15min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
99.0%
99.0%
93.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
97.9%
97.8%
94.4%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
68.6%
71.4%
-
51.4%
Q1 2015Q2 2015Q3 2015FL
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
11.9%
12.6%
14.4%
18.9%
Q1 2015Q2 2015Q3 2015FL
Received an Antipsychotic Medication
15.9%
10.5%
12.7%
14.1%
Q1 2015Q2 2015Q3 2015FL
Need for Help with ADLs has Increased
3.7%
2.1%
3.9%
5.6%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
10.8%
8.6%
10.1%
7.6%
Q1 2015Q2 2015Q3 2015FL
Lose Too Much Weight
1.3%
2.5%
1.2%
5.8%
Q1 2015Q2 2015Q3 2015FL
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.4%
1.9%
Q1 2015Q2 2015Q3 2015FL
Have Depressive Symptoms
9.6%
7.4%
5.6%
5.2%
Q1 2015Q2 2015Q3 2015FL
With a Urinary Tract Infection
3.6%
4.2%
5.6%
2.8%
Q1 2015Q2 2015Q3 2015FL
Experiencing One or More Falls with Major Injury
4.8%
5.7%
4.6%
2.7%
Q1 2015Q2 2015Q3 2015FL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015FL
Were Physically Restrained

Quality Measures for Short Stay Residents

73.4%
68.4%
57.0%
87.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
75.6%
72.6%
72.6%
84.9%
Q1 2015Q2 2015Q3 2015FL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
14.9%
10.3%
8.6%
14.3%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
0.0%
1.3%
3.9%
2.6%
Q1 2015Q2 2015Q3 2015FL
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015FL
With Pressure Ulcers That Are New or Worsened