Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Freedom Pointe Health Center during CMS and state inspections, most recent first.
Two residents experienced significant weight loss due to the facility's failure to provide prescribed Magic Cup supplements. Despite physician orders, the supplements were not included on meal trays, contributing to a 9.85% and 7.56% weight loss for the residents. The facility had the supplements available, but staff did not ensure their delivery.
A resident with COPD and acute respiratory failure was observed receiving oxygen without a physician's order, contrary to facility policy. The resident's care plan indicated the need for oxygen use, but the Director of Nursing confirmed the absence of a current order, highlighting a failure in adhering to the required protocol for oxygen administration.
The facility failed to store medications properly, as observed in two residents' rooms. A resident had Magnesium Glycinate on their bedside table, which they brought from home, and another resident had Hydrogen Peroxide on their drawer without orders for it. The LPN and DON confirmed that medications should be locked, which was not followed.
The facility failed to ensure proper sanitation of equipment during food temperature checks. A cook used a towel to wipe a temperature probe between checking pureed foods without using alcohol wipes, contrary to facility policy. Both the Certified Dietary Manager and Registered Dietician confirmed the expectation to use alcohol wipes for sanitizing the probe.
The facility failed to ensure proper use of PPE and hand hygiene, leading to infection control deficiencies. An LPN did not wear a gown while administering medication to two residents under enhanced barrier precautions. Another LPN handled a fallen medication capsule without gloves and administered it to a resident. Additionally, an RN did not perform hand hygiene between glove changes during wound care, nor did they use a protective barrier on the bed.
The facility failed to document the administration of the influenza vaccine for two residents who had consented to receive it. Despite signed consents, there was no record of the vaccine being administered after the specified date. The Infection Preventionist confirmed the lack of documentation, and the DON emphasized the expectation for staff to document vaccine administration. The facility's policy requires the Infection Preventionist to oversee the annual influenza vaccine campaign.
Failure to Provide Prescribed Nutritional Supplements
Penalty
Summary
The facility failed to provide nutritional supplements to two residents, leading to significant weight loss. Resident #12, who had a history of weight loss and was at risk due to a fair appetite and refusal of supplements, was observed without the prescribed Magic Cup supplement on her meal trays on multiple occasions. Despite having a physician's order for the Magic Cup twice daily to address her weight loss, the resident's weight decreased from 136 lbs to 122.6 lbs, a 9.85% loss. The Registered Dietician noted the resident's challenges with supplement intake and the importance of the Magic Cup in meeting her caloric needs. Similarly, Resident #14, who was also at risk for unintentional weight loss, did not receive the prescribed Magic Cup supplement on her meal trays. Her weight decreased from 127 lbs to 117.4 lbs, a 7.56% loss. The resident had a recent change in her supplement from Ensure to Magic Cup due to taste preferences, but the supplement was not provided as ordered. Interviews with the Certified Dietary Manager and the Director of Nursing revealed that the facility had the Magic Cups available, and nursing staff were responsible for ensuring they were included on meal trays.
Oxygen Administration Without Physician Order
Penalty
Summary
The facility failed to ensure that a resident received oxygen as per physician orders. During observations on two consecutive days, the resident was noted to be receiving oxygen at 2 liters per minute via nasal cannula. However, a review of the resident's physician orders revealed no order for oxygen administration. This discrepancy indicates that the resident was receiving oxygen without a documented physician's order, which is a requirement for all medications and interventions according to the facility's policy. The resident in question had a care plan indicating altered respiratory status due to COPD and acute respiratory failure with hypoxia, which included oxygen use. Despite this, the Director of Nursing confirmed that there was no current order for oxygen administration in the facility records. The facility's policy on oxygen administration clearly states the necessity of a physician's order to guide the rate of oxygen delivery, which was not adhered to in this case.
Improper Storage of Medications in Facility
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored according to accepted professional principles in one of its units. During an observation, a bottle of Magnesium Glycinate was found on the bedside table of a resident who stated that they brought it from home because the facility did not carry that type. This indicates that the medication was not stored in a locked compartment as required by the facility's policy. Additionally, another observation revealed a bottle of Hydrogen Peroxide on top of a resident's drawer, despite the resident not having orders for it. The LPN Unit Manager acknowledged that medications should not be at the bedside and confirmed that the resident did not have orders for Hydrogen Peroxide. The Director of Nursing also stated that resident medication should be locked in a lock box inside the resident's drawer, which was not adhered to in these instances.
Failure to Sanitize Temperature Probe in Food Preparation
Penalty
Summary
The facility failed to ensure that staff sanitized equipment while taking food temperatures in accordance with professional standards. During an observation, a cook used a towel sitting on the prep table to wipe the temperature probe between taking temperatures of pureed foods, including oatmeal, eggs, and waffles, without using alcohol wipes after testing the first pureed food. The cook confirmed this practice during an interview. The Certified Dietary Manager stated that alcohol wipes should be used to clean the temperature probe, and if another source is needed, a clean paper towel should be used. The Registered Dietician also expected the dietary staff to use alcohol wipes between foods when using the temperature probe. The facility's policy and procedure on food temperatures, last reviewed in January 2024, required washing, rinsing, and sanitizing a dial face, metal probe-type thermometer with an alcohol wipe and re-sanitizing the thermometer after each use.
Infection Control Deficiencies in PPE Use and Hand Hygiene
Penalty
Summary
The facility failed to ensure staff used appropriate personal protective equipment (PPE) while providing care to residents under enhanced barrier precautions. During observations, a Licensed Practical Nurse (LPN) entered the rooms of two residents, both of whom had enhanced barrier precaution signage, without donning a gown. The LPN administered intravenous medication to one resident and medication via a gastric tube to another without wearing the required gown, despite the facility's policy stating that gowns and gloves should be used during high-contact care activities. Additionally, the facility did not ensure proper hand hygiene during medication administration. An LPN was observed handling a medication capsule that fell onto the medication cart without wearing gloves and then administered it to a resident. This action was contrary to the facility's policy, which requires discarding contaminated medication and following infection control procedures, including hand hygiene. The facility also failed to adhere to infection control standards during wound care. A Registered Nurse (RN) did not perform hand hygiene between glove changes while providing wound care to a resident with pressure wounds. The RN also neglected to place a protective barrier on the bed before starting the procedure. These actions were inconsistent with the facility's policy, which mandates handwashing between procedures and the use of protective barriers to prevent contamination.
Failure to Document Influenza Vaccination for Two Residents
Penalty
Summary
The facility failed to ensure that the health records of two residents, identified as Residents #3 and #7, documented the administration of the influenza vaccine or noted any medical contraindications or refusals. Resident #3 was admitted with diagnoses including dementia, atrial fibrillation, insomnia, and chronic pain syndrome. The records showed a flu vaccine consent signed on November 6, 2023, but there was no documentation of the vaccine being administered after this date. Similarly, Resident #7, who was admitted with heart failure, atrial fibrillation, dementia, and chronic kidney disease, also had a flu vaccine consent signed on November 6, 2023, with no subsequent documentation of vaccine administration. During interviews, the Infection Preventionist confirmed that both residents had consented to the flu vaccine, but there was no documentation of the vaccine being administered. The Infection Preventionist noted that the previous Infection Preventionist was responsible for the administration, and she could not find any documentation of the vaccine being given. The Director of Nursing stated that it is expected for staff to obtain an order, administer the vaccine, and document it in the record once consent is signed. The facility's policy on influenza prevention and control, last reviewed in January 2024, states that the Infection Preventionist is responsible for organizing and overseeing the annual influenza vaccine campaign, ensuring all residents and staff are offered the vaccine before the influenza season begins.
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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 The Villages
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lady Lake Specialty Care Center And Rehab | 1.7 mi | — | 10 | 2 |
| Villages Healthcare And Rehabilitation Center, The | 3.1 mi | — | 9 | 0 |
| Chatham Glen Healthcare And Rehabilitation Center | 3.2 mi | — | 5 | 0 |
| Club Healthcare And Rehabilitation Center At The V | 3.4 mi | — | 0 | 0 |
| Buffalo Crossings Healthcare & Rehabilitation Cen | 4.2 mi | — | 0 | 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 August 2026) and official state health department websites.