01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-03 | 1 | 2026-03-03 | 2 |
| Cycle 2 | 2025-01-30 | 3 | 2025-01-30 | 2 |
| Cycle 3 | 2024-02-21 | 6 | 2024-02-21 | 0 |
CMS CCN 2355482026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Inn At Freedom Village
145 Columbia Avenue · Holland, MI 49423 · Ottawa County
Certified beds39CMS provider file
Recent citation rows14current 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
14 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-03 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-03 · FIREK0345Severity F · widespread; 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 · 2026-04-272026-03-03 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-272025-01-30 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-03-072025-01-30 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-072025-01-30 · HEALTHF0812Severity F · widespread; 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 · 2025-04-182025-01-30 · FIREK0345Severity F · widespread; 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 · 2025-02-182025-01-30 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-02-182024-02-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-04-012024-02-21 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-04-012024-02-21 · HEALTHF0838Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-04-012024-02-21 · HEALTHF0880Severity F · widespread; 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 · 2024-04-012023-08-09 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-09-15 · complaint2023-08-09 · 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 · 2023-09-15 · complaint03 / 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
- CCRC OPCO VENTURES LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/29/2014
- CCRC PROPCO - HOLLAND LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP MA3 GP HOLDING, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP MA3, LPOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP PARTNERS LPOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP S-H 2014 MEMBER LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP VENTURES II PARTNER LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP VENTURES II TRS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP/LS 2011 REIT, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HEALTHPEAK OP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/10/2023
- HEALTHPEAK PROPERTIES INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2020
- JANUS LIVING OP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS LIVING TRS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS LIVING, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS MEMBER, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- OCEAN ACQUISITION I LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- STATE STREET CORPORATIONOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- VANGUARD GROUP INCOrganization · INDIRECT OWNERSHIP INTERESTNOT 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 hours5.77per resident day
RN hours1.51per resident day
Weekend nurse hours5.10per resident day
Staff turnover40.4%CMS reported field
06 / LOCAL RECORDS
Open the Holland ledger →