nursing home in West Brandywine, PA
Inn at Freedom Village,the
35 Freedom Boulevard, West Brandywine, PA 19320 · (484) 288-2300
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Inn at Freedom Village,the at a glance
Inn at Freedom Village,the is a 60-bed for-profit nursing home in West Brandywine, Pennsylvania (Chester County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Pennsylvania average of 3.
Residents receive about 4.7 hours of nursing care per day (1.1 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (September 13, 2024) found 2 health citations. The Pennsylvania average is 10.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.6% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare
- Chain / affiliated entity
- Healthpeak Properties, INC.
- Medicare-certified since
- December 24, 1998
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Chester County
- CMS Certification Number
- 396062
Ratings
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.65 hrs | 3.89 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.15 hrs | 0.79 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.38 hrs | 2.19 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 4.28 hrs | 3.53 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 38.6% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 39.9% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 7 | 82.4 | 80.6 | Better |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $25,774 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 127 | 107 | |
| Average residents per day | 46 | 105 | 86 | |
| Occupancy | 76.8% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.6% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 4.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 7.4% | 17.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.4% | 16.8% | 13.9% | Average |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 8.6% | 10.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.4% | 20% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 33.8% | 25.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 87.6% | 87.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.4% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 83.8% | 68.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82.5% | 70% | 82% | Average |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 13, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 20, 2024 |
| September 13, 2024 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 13, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 13, 2024 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 13, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected November 11, 2024 |
| September 13, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected November 11, 2024 |
| September 13, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected November 11, 2024 |
| September 13, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 10, 2024 |
| September 13, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 10, 2024 |
| October 20, 2023 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 20, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 20, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 20, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | C No harm, widespread | Corrected December 11, 2023 |
| October 20, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | C No harm, widespread | Corrected December 11, 2023 |
| October 20, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected December 11, 2023 |
| October 20, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | C No harm, widespread | Corrected December 11, 2023 |
| October 20, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 24, 2023 |
| December 8, 2022 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected December 23, 2022 |
| December 8, 2022 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | C No harm, widespread | Corrected December 23, 2022 |
| December 8, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected December 23, 2022 |
| December 8, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | C No harm, widespread | Corrected December 23, 2022 |
| December 8, 2022 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | C No harm, widespread | Corrected December 23, 2022 |
| December 8, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 15, 2023 |
| December 8, 2022 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CCRC OPCO VENTURES LLC Organization | 5% or greater indirect ownership interest | 100% | 03/19/2026 |
| BRANDYWINE PROPCO 1, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/19/2026 |
| BLACKROCK INC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| BRANDYWINE PROPCO 1, LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| CCRC PROPCO VENTURES, LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HCP/LS 2011 REIT, LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HCP MA3, LP Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HCP PARTNERS LP Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HCP S-H 2014 MEMBER LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HCP VENTURES II PARTNER LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HEALTHPEAK OP LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| HEALTHPEAK PROPERTIES INC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| JANUS LIVING, INC. Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| JANUS LIVING OP LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| JANUS MEMBER, LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| LIFE CARE SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 10/21/2025 |
| MALAWI, LORNA Individual | adp of the snf | NOT APPLICABLE | 05/02/2025 |
| OCEAN ACQUISITION I LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| STATE STREET CORPORATION Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| ULICHNEY, ANDREW Individual | adp of the snf | NOT APPLICABLE | 04/10/2025 |
| VANGUARD GROUP INC Organization | adp of the snf | NOT APPLICABLE | 03/19/2026 |
| MALAWI, LORNA Individual | corporate officer | NOT APPLICABLE | 02/06/2023 |
| CCRC OPCO VENTURES LLC Organization | direct ownership interest | NOT APPLICABLE | 03/19/2026 |
| HCP MA3 GP HOLDING, LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/19/2026 |
| HCP VENTURES II TRS LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/19/2026 |
| HEALTHPEAK OP LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/10/2023 |
| JANUS LIVING TRS LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/19/2026 |
| OCEAN ACQUISITION I LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/19/2026 |
| HCP MA3, LP Organization | limited partnership interest | NOT APPLICABLE | 03/19/2026 |
| HCP PARTNERS LP Organization | limited partnership interest | NOT APPLICABLE | 03/19/2026 |
| CHENG, PATRICK Individual | managing control - governing body | NOT APPLICABLE | 01/31/2022 |
| RUSSO, FRANK Individual | managing control - governing body | NOT APPLICABLE | 01/31/2022 |
| GEYER, DANIELLE Individual | operational/managerial control | NOT APPLICABLE | 10/09/2022 |
| LIFE CARE SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
| MALAWI, LORNA Individual | operational/managerial control | NOT APPLICABLE | 02/06/2023 |
| ULICHNEY, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
Other nursing homes near Inn at Freedom Village,the
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★★★★★5Much above averageHickory House Nursing Home
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- CMS high performer
★★★★★5Much above averageTel Hai Retirement Community
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- CMS high performer
★★★★★5Much above averageExton Post Acute
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For-profit · 120 beds · Part of Marquis Health Services
★★★★★3AveragePark Lane Post Acute LLC
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- CMS high performer
★★★★★5Much above averageBarclay Friends
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★★★★★5Much above average
All nursing homes in West Brandywine, PA · Compare side by side
Frequently asked questions
What is Inn at Freedom Village,the's rating?
Inn at Freedom Village,the has 5 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.
How many inspection citations did Inn at Freedom Village,the receive?
Its most recent standard health inspection found 2 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Inn at Freedom Village,the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Inn at Freedom Village,the?
It is for profit - corporation and part of Healthpeak Properties, INC.. The ownership section on this page lists the owners and managers reported to CMS.
Where is Inn at Freedom Village,the and how do I contact it?
Inn at Freedom Village,the is at 35 Freedom Boulevard, West Brandywine, PA 19320. Phone: (484) 288-2300.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.