Federal inspection record · CMS data as of October 1, 2026
Inn At Freedom Village,the
35 Freedom Boulevard, West Brandywine, PA · (484) 288-2300
- Certified beds
- 60
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- Healthpeak Properties, Inc.
- Medicare / Medicaid
- Medicare
- Certified since
- December 24, 1998
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Inn At Freedom Village,the carries 7 inspection points. That is fewer than 91% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
5 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service1D
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Inspection history
2024-09-13
2 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-10-20
1 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2022-12-08
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 17 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.
This home
4 h 17 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 1.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts better | 94.5% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts better | 94.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.2 pts better | 5.6% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 5.1% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.8 pts better | 11.3% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10 pts better | 7.6% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better | 12.2% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.9% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts worse | 3.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse | 26.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.5% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.7 pts better | 87.5% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts worse | 12.0% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.2 pts better | 91.1% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts better | 15.5% | 22.0% | 23.4% |
·
Who owns and runs it
36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ccrc Opco Ventures LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 4 facilities |
| Blackrock Inc | Adp Of The SNF · Organization | 0% | 85 facilities |
| Brandywine Propco 1, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Brandywine Propco 1, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ccrc Opco Ventures LLC | Direct Ownership Interest · Organization | 0% | 4 facilities |
| Ccrc Propco Ventures, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Cheng, Patrick | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Geyer, Danielle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hcp Ma3 Gp Holding, LLC | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Hcp Ma3, LP | Limited Partnership Interest · Organization | 0% | 12 facilities |
| Hcp Ma3, LP | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hcp Partners LP | Limited Partnership Interest · Organization | 0% | 12 facilities |
| Hcp Partners LP | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hcp S-H 2014 Member LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Hcp Ventures Ii Partner LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hcp Ventures Ii Trs LLC | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Hcp/Ls 2011 Reit, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Healthpeak Op LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Healthpeak Op LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Healthpeak Properties Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Janus Living Op LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Janus Living Trs LLC | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Janus Living, Inc. | Adp Of The SNF · Organization | 0% | 12 facilities |
| Janus Member, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Life Care Services LLC | Operational/Managerial Control · Organization | 0% | 57 facilities |
| Life Care Services LLC | Adp Of The SNF · Organization | 0% | 57 facilities |
| Malawi, Lorna | Corporate Officer · Individual | 0% | 1 facilities |
| Malawi, Lorna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Malawi, Lorna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ocean Acquisition I LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Ocean Acquisition I LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Russo, Frank | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| State Street Corporation | Adp Of The SNF · Organization | 0% | 15 facilities |
| Ulichney, Andrew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ulichney, Andrew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4E
- C
Have generator or other power source capable of supplying service within 10 seconds.
- C
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress3E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- C
Install emergency lighting that can last at least 1 1/2 hours.
- C
Have properly located and lighted "Exit" signs.
Miscellaneous3E
- E
Provide properly sized and located linen or trash receptacles.
- C
Have simulated fire drills held at unexpected times.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1E
- E
Have elevators that firefighters can control in the event of a fire.
Construction1C
- C
Meet other general requirements.
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Other homes nearby
-
St Martha Center For Rehabilitation & Healthcare
Downingtown, PA · Center Management Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Hickory House Nursing Home
Honey Brook, PA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Tel Hai Retirement Community
Honey Brook, PA · Friends Services For The Aging
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 39 min
- Fines
- $0