Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

FREELANDVILLE COMMUNITY HOME

FREELANDVILLE, IN · 45 certified beds · Last Life Safety survey February 23, 2026

CMS Certification Number 155688 · first certified April 2001

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Other

  • Ownership changed September 1, 2019 (change of ownership)from GOOD SAMARITAN HOSPITAL
43
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
17
Inspection & testing records
Of the citations on file

Position within IN

43 citations — more than 97% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 20 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

13 of the 43 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 43 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility43IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility43
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
112023-11122024-12202026-02
Citations at each Life Safety survey
Survey dateCitations
November 16, 202311
December 9, 202412
February 23, 202620

Most-cited tags

Most-cited tags at this facility
E-00413K-07123K-09183K-03552K-09202K-09142K-02912K-03532
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0041Implement emergency and standby power systems.32026-02-23
K-0712Have simulated fire drills held at unexpected times.32026-02-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-02-23
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22024-12-09
K-0920Ensure proper usage of power strips and extension cords.22024-12-09
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22026-02-23
K-0291Install emergency lighting that can last at least 1 1/2 hours.22026-02-23
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-02-23

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 13
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 5
  • Other 6
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies13
Gas, Vacuum, and Electrical Systems Deficiencies10
Smoke Deficiencies9
Miscellaneous Deficiencies5
Services Deficiencies3
Egress Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 23, 2026 — 20 citations

Citations issued on February 23, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 10, 2026)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (April 10, 2026)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (April 10, 2026)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (April 10, 2026)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (April 10, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 10, 2026)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 10, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 10, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 10, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 10, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 10, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 10, 2026)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (April 10, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 10, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 10, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 10, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 10, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 10, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 10, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 10, 2026)

December 9, 2024 — 12 citations

Citations issued on December 9, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 17, 2025)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (January 17, 2025)
E-0029Develop a communication plan.Deficient, Provider has date of correction (January 17, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (January 17, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (January 24, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (January 9, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 17, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 24, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 24, 2025)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (February 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 24, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 24, 2025)

November 16, 2023 — 11 citations

Citations issued on November 16, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 3, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (January 3, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 3, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (January 3, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 3, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 3, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 3, 2024)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (January 3, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 3, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 3, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 3, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.