Nursing Home Medicare 5-star

Inn at Freedom Village,the

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

35 Freedom Boulevard, West Brandywine, PA 19320|60 beds|Licensed & active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 1 Google review

(484) 288-2300 Directions Website

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What this means for your family

Inn at Freedom Village,the has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Review the component ratings and current source records before deciding.

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

1.15hrs

Registered nurses for medical care

Total Nursing

4.65hrs

All nurses + aides combined

Staff Turnover

39%

Lower is better (< 30% = good)

RN Turnover

43%

Lower is better (< 30% = good)

This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility33.8%

Worse than Avg

Here

33.8%

19.0%

25.5%

Chester

28.9%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility87.6%

Mixed vs Avgs

Here

87.6%

93.5%

87.5%

Chester

77.0%

Residents on antipsychotic medication

↓ Lower is better

This Facility7.4%

Better than Avg

Here

7.4%

15.4%

17.7%

Chester

14.0%

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

93.5%

Chester

89.9%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility15.4%

Better than Avg

Here

15.4%

19.5%

20.0%

Chester

16.8%

Residents with depression symptoms

↓ Lower is better

This Facility8.6%

Better than Avg

Here

8.6%

12.8%

10.8%

Chester

11.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility82.5%

Better than Avg

Here

82.5%

82.0%

70.0%

Chester

53.2%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility83.8%

Better than Avg

Here

83.8%

79.8%

68.7%

Chester

58.7%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.4%

Better than Avg

Here

1.4%

1.6%

1.4%

Chester

2.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

24findings in history

Latest survey: 2 · well below PA avg (10.1)

This facility has consistent fire safety and building maintenance issues across all three surveys, with deficiencies in smoke detection systems, emergency exits, and electrical systems appearing repeatedly. While all 24 deficiencies were corrected by the provider, the pattern of recurring fire safety violations and some problems with quality of care and medication management suggests ongoing operational challenges. Families should inquire about recent improvements to fire safety protocols and maintenance procedures before visiting.

Sep 13, 2024Routine9 findings

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0754Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Oct 20, 2023Routine8 findings

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0531Potential for harm · PatternCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0761Minimal · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Dec 8, 2022Routine7 findings

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0291Minimal · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Inn at Freedom Village,the

Organization Type

for profit

Chain Affiliation

Chain Name

Healthpeak Properties, INC.

Chain Size

15 facilities nationwide

Chain avg rating: 3.3/5 · Rank 1 of 15 (Highest rating)

Ownership & Management

Owners

Ccrc Opco Ventures LLC

Owner · Organization

Ccrc Opco Ventures LLC