THE INN AT FREEDOM VILLAGE

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Inn at Freedom Village. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Pennsylvania are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/09/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/09/2010 Correction Date: 10/08/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/07/2008 Correction Date: 09/26/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/07/2008 Correction Date: 09/26/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/09/2010 Correction Date: 10/08/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Do an Assessment of the Resident Every Year. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/09/2010 Correction Date: 09/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/09/2010 Correction Date: 09/30/2010

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 08/07/2008 Correction Date: 09/26/2008

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for The Inn at Freedom Village, as well as complaints by residents or their family in the previous three years.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 03/11/2009 Correction Date: 04/17/2009
Keep Accurate and Appropriate Medical Records. Complaint Filed: 08/18/2009 Correction Date: 09/04/2009
Keep Accurate and Appropriate Medical Records. Complaint Filed: 12/30/2009 Correction Date: 01/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/30/2009 Correction Date: 01/15/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Complaint Filed: 08/18/2009 Correction Date: 09/04/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that The Inn at Freedom Village had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/29/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/31/2008 Correction Date: 08/28/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/20/2009 Correction Date: 10/07/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 08/20/2009 Correction Date: 10/07/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 07/31/2008 Correction Date: 08/28/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/31/2008 Correction Date: 08/28/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/20/2009 Correction Date: 10/07/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/29/2010 Correction Date: 11/06/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/20/2009 Correction Date: 10/07/2009

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 07/31/2008 Correction Date: 08/28/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/31/2008 Correction Date: 08/28/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/31/2008 Correction Date: 08/28/2008

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 07/31/2008 Correction Date: 08/28/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/31/2008 Correction Date: 08/28/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/31/2008 Correction Date: 08/28/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/31/2008 Correction Date: 08/28/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/29/2010 Correction Date: 11/06/2010