Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Inn At Freedom Village,the during CMS and state inspections, most recent first.
A resident experienced prolonged constipation due to the facility's failure to follow the physician's bowel protocol orders. Despite specific orders for Milk of Magnesia, Bisacodyl Suppository, and Fleets Enema, the facility did not administer these medications as required, leading to multiple instances of extended constipation. The Nursing Home Administrator and DON confirmed the non-compliance with the physician's orders.
The facility did not properly label and date insulin pens on a medication cart on the second floor. During an observation, four insulin pens were found opened and undated, contrary to the facility's policy requiring opened multi-dose vials to be dated and discarded within 28 days. A nursing employee confirmed the pens were opened and should have been dated.
Failure to Follow Bowel Protocol Orders
Penalty
Summary
The facility failed to adhere to the physician's orders for a bowel protocol for a resident, leading to multiple instances of prolonged constipation. The resident had specific orders for Milk of Magnesia, Bisacodyl Suppository, and Fleets Naturals Cleansing Enema to be administered sequentially if constipation persisted. However, the facility did not follow these orders as prescribed. On several occasions, the resident did not have a bowel movement for extended periods, such as five, nine, and ten days, without the appropriate administration of the ordered medications. The Medication Administration Record (MAR) indicated that Milk of Magnesia was given but was ineffective, and subsequent medications were not administered as required. Additionally, there was an instance where Milk of Magnesia was administered when it was not indicated, as the resident had a bowel movement the previous day. Interviews with the Nursing Home Administrator and the Director of Nursing confirmed that the physician's orders for the bowel regimen were not being followed, resulting in a deficiency in the care provided to the resident.
Failure to Date Insulin Pens on Medication Cart
Penalty
Summary
The facility failed to properly label and date vials of insulin on one of the three medication carts reviewed, specifically on the second floor. During an observation on September 11, 2024, at 9:20 a.m., it was found that four insulin pens on the medication cart for the high number rooms were opened and being used without being dated. This is in violation of the facility's policy and procedure titled Medication Labeling and Storage, which requires that multi-dose vials that have been opened or accessed be dated and discarded within 28 days unless otherwise specified by the manufacturer. An interview with Nursing Employee E3 confirmed that the insulin pens were opened and should have been dated with the date they were opened.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near West Brandywine
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Martha Center For Rehabilitation & Healthcare | 3.9 mi | ★★★★★ | 1 | 0 |
| Hickory House Nursing Home | 5.9 mi | ★★★★★ | 10 | 0 |
| Tel Hai Retirement Community | 5.9 mi | ★★★★★ | 2 | 0 |
| Exton Post Acute | 7.3 mi | ★★★★★ | 14 | 1 |
| Park Lane Post Acute Llc | 10.2 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.