01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-29 | 5 | 2026-01-29 | 2 |
| Cycle 2 | 2024-08-22 | 6 | 2024-08-22 | 0 |
| Cycle 3 | 2023-04-13 | 6 | 2023-04-13 | 1 |
CMS CCN 1060832026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Freedom Pointe Health Center
1460 El Camino Real Drive · The Villages, FL 32159 · Lake County
Certified beds72CMS provider file
Recent citation rows20current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
20 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-29 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-282026-01-29 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-02-282026-01-29 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-282026-01-29 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-282026-01-29 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-282026-01-29 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-02-282026-01-29 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-02-282024-08-22 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-09-232024-08-22 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-09-242024-08-22 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-09-242024-08-22 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-242024-08-22 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-242024-08-22 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-09-232023-04-13 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-04-13 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-04-13 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-04-13 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-04-13 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-04-13 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-04-13 · FIREK0908Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Correction field: Deficient, Provider has date of correction · 2023-06-0103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HCP MA3 GP HOLDING, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP VENTURES II TRS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- CHENG, PATRICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/31/2022
- RUSSO, FRANKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/31/2022
- LIFE CARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2020
- BOUTIN, ALLENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/12/2021
- FERA-MCILWAIN, RALPHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/23/2020
- VALLEJO AGUDELO, ANDRESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- HCP MA3, LPOrganization · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP PARTNERS LPOrganization · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- BLACKROCK INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- CCRC PROPCO VENTURES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP MA3, LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP PARTNERS LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP S-H 2014 MEMBER LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP VENTURES II PARTNER LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP/LS 2011 REIT, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HEALTHPEAK OP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.61per resident day
RN hours1.13per resident day
Weekend nurse hours4.00per resident day
Staff turnover32.9%CMS reported field
06 / LOCAL RECORDS
Open the The Villages ledger →