The Inn at Freedom Village ratings, inspections, staffing, and fines

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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
Staffing

no change (already 5)

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

no change (already 5)

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

The Inn at Freedom Village carries 12 inspection points. That is fewer than 95% of Michigan's 420 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: 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★ 0–18 pts
4★ 18–46 pts
3★ 46–78 pts
2★ 78–123 pts
1★ over 123 pts

Bars show every rated home in Michigan 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

8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts

E 0 8 pts

F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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

Resident Assessment and Care Planning3D

D
Ensure services provided by the nursing facility meet professional standards of quality.
March 3, 2026 · Standard · F658 · Corrected April 24, 2026
D
Ensure services provided by the nursing facility meet professional standards of quality.
January 30, 2025 · Standard · F658 · Corrected March 7, 2025
D
Ensure services provided by the nursing facility meet professional standards of quality.
February 21, 2024 · Standard · F658 · Corrected April 1, 2024

Nutrition and Dietary2F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
January 30, 2025 · Standard · F812 · Corrected April 18, 2025
D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
February 21, 2024 · Standard · F804 · Corrected April 1, 2024

Quality of Life and Care1D

D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 30, 2025 · Standard · F689 · Corrected March 7, 2025

Administration1F

F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
February 21, 2024 · Standard · F838 · Corrected April 1, 2024

Infection Control1F

F
Provide and implement an infection prevention and control program.
February 21, 2024 · Standard · F880 · Corrected April 1, 2024

Inspection history

2026-03-03
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2025-01-30
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-02-21
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 5 h 35 min of nursing staff time a day, 1 h 33 min of it from a registered nurse.

This home

5 h 35 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 40% of nursing staff and 39% 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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better	100.0%	95.4%	93.7%
Percentage of long-stay residents experiencing one or more falls with major injury3 pts better	0.0%	3.0%	3.2%
Percentage of long-stay residents who have depressive symptoms4.5 pts better	0.0%	4.5%	13.5%
Percentage of long-stay residents who lose too much weight5.5 pts better	0.0%	5.5%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better	14.3%	19.4%	19.5%
Percentage of long-stay residents who received an antipsychotic medication10.7 pts better	4.0%	14.7%	15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better	0.0%	0.1%	0.1%
Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better	3.6%	10.7%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better	0.0%	0.7%	0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better	0.0%	1.5%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better	17.6%	19.4%	18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts worse	6.1%	5.0%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.3 pts better	99.7%	83.4%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6 pts better	5.7%	11.7%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse	1.6%	1.1%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.3 pts better	98.8%	81.5%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts better	16.1%	23.9%	23.4%

·

Who owns and runs it

44 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
Blackrock Inc	Adp Of The SNF · Organization	0%	85 facilities
Boettcher, Iris	Operational/Managerial Control · Individual	0%	8 facilities
Boettcher, Iris	Adp Of The SNF · Individual	0%	8 facilities
Ccrc Opco Ventures LLC	Direct Ownership Interest · Organization	0%	4 facilities
Ccrc Propco - Holland LLC	Indirect Ownership Interest · Organization	0%	1 facilities
Ccrc Propco - Holland LLC	Adp Of The SNF · Organization	0%	1 facilities
Ccrc Propco Ventures, LLC	Adp Of The SNF · Organization	0%	12 facilities
Cheng, Patrick	Managing Control - Governing Body · Individual	0%	14 facilities
Hcp Ma3 Gp Holding, LLC	Indirect Ownership Interest · Organization	0%	11 facilities
Hcp Ma3, LP	Indirect Ownership Interest · Organization	0%	12 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	Indirect Ownership Interest · 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	Indirect Ownership Interest · Organization	0%	13 facilities
Hcp S-H 2014 Member LLC	Adp Of The SNF · Organization	0%	13 facilities
Hcp Ventures Ii Partner LLC	Indirect Ownership Interest · Organization	0%	12 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	Indirect Ownership Interest · Organization	0%	12 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	Indirect Ownership Interest · Organization	0%	13 facilities
Healthpeak Properties Inc	Adp Of The SNF · Organization	0%	13 facilities
Hitchcock, Alexis	Operational/Managerial Control · Individual	0%	2 facilities
Janus Living Op LLC	Indirect Ownership Interest · Organization	0%	12 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.	Indirect Ownership Interest · Organization	0%	12 facilities
Janus Living, Inc.	Adp Of The SNF · Organization	0%	12 facilities
Janus Member, LLC	Indirect Ownership Interest · 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
Morse, Brittney	Corporate Officer · Individual	0%	1 facilities
Morse, Brittney	Operational/Managerial Control · Individual	0%	1 facilities
Morse, Brittney	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
State Street Corporation	Indirect Ownership Interest · Organization	0%	15 facilities
State Street Corporation	Adp Of The SNF · Organization	0%	15 facilities
Vanguard Group Inc	Indirect Ownership Interest · Organization	0%	84 facilities

·

Fire safety

4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F

F
Have approved installation, maintenance and testing program for fire alarm systems.
March 3, 2026 · K345 · Corrected April 27, 2026
F
Inspect, test, and maintain automatic sprinkler systems.
March 3, 2026 · K353 · Corrected April 27, 2026
F
Have approved installation, maintenance and testing program for fire alarm systems.
January 30, 2025 · K345 · Corrected February 18, 2025
F
Inspect, test, and maintain automatic sprinkler systems.
January 30, 2025 · K353 · Corrected February 18, 2025

·

Other homes nearby

Medilodge of Holland
Holland, MI · Medilodge

Worst citation, 3 yrs
F

Nursing / resident / day
4 h 5 min

Fines
$0
Resthaven Care Center
Holland, MI

Worst citation, 3 yrs
G

Nursing / resident / day
4 h 13 min

Fines
$0
Medilodge of Zeeland
Zeeland, MI · Medilodge

Worst citation, 3 yrs
G

Nursing / resident / day
3 h 34 min

Fines
$0

All homes in Holland → All of Michigan →