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Inn At Freedom Village, The

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About Inn At Freedom Village, The

General Information

Legal Business NameCcrc Opco - Holland, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 22, 1994 (23 years)
Capacity39
Residents21
Percent Occupied54%
Program ParticipationMedicare
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Inn At Freedom Village, The

Inn At Freedom Village, The
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 Michigan 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

May 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmFire Safety InspectionProtected exits that allow the resident to escape the building.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
BSomePotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

March 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

September 5, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

June 10, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.

June 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
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 Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

March 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Inn At Freedom Village, The 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 10min
2hr 30min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
3hr
1hr 30min
ReportedExpected
RN
7hr 10min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
92.8%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
93.6%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
13.8%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
14.1%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.2%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
7.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
5.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
3.3%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
4.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.0%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
3.4%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
1.1%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

94.5%
94.9%
96.6%
81.6%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Pneumococcal Vaccine
96.1%
94.5%
94.5%
80.9%
Q1 2015Q2 2015Q3 2015MI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
16.8%
13.0%
18.5%
18.0%
Q1 2015Q2 2015Q3 2015MI
Self Report Moderate to Severe Pain
1.1%
1.4%
0.7%
1.8%
Q1 2015Q2 2015Q3 2015MI
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MI
With Pressure Ulcers That Are New or Worsened