Home / Pennsylvania / West Brandywine
Inn at Freedom Village,the
35 Freedom Boulevard, West Brandywine, PA 19320 · Chester County · (484) 288-2300
60 certified beds, about 46 residents a day · For profit - Corporation · Medicare since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 396062 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 13, 2024, inspectors cited 2 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 5 health citations since December 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.65 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.
38.6% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Healthpeak Properties, Inc., an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
September 13, 2024Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility documentation and staff interview it was determined the facility failed to follow physician orders for bowel protocol for one of 16 residents reviewed. (Resident 15) Findings Include: Review of Resident 15's physician orders revealed an order dated August 31, 2022 for Milk of Magnesia (laxative), give 30 cc (cubic centimeter or milliliters) by mouth as needed for constipation if no BM (Bowel Movement) in 3 days: an order dated August 31, 2022 for Bisacodyl Suppository (laxative inserted rectally) 10mg (milligrams) as needed for constipation administer the next shift if no results from the Milk of Magnesia; and an order dated August 31, 2022 for Fleets Naturals Cleansing Enema (rectal cleanser), insert 1 unit rectally as needed for Constipation administer next shift if no results from Bisacodyl Suppository. [...]
- D 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.
Inspectors wroteBased on observation, facility policy and procedure review, and staff interview it was determined the facility failed to properly label and date vials of insulin for one of three med carts reviewed. (second floor) Findings Include: Review of facility policy and procedure titled Medication Labeling and Storage, dated 2001, revealed Multi-dose vials that have been opened or accessed (e.g., needle puncture) are dated and discarded within 28 days unless the manufacturer specifies a shorter or longer date for the open vial. Observation on September 11, 2024 at 9:20 a.m. of the medication cart on the second floor for the high number rooms revealed there were four insulin pens that were opened and being used that were undated. [...]
October 20, 2023Standard inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on a review of clinical and hospital records and staff interviews, it was determined that the facility failed to ensure wound treatment was initiated upon admission for two of the six residents reviewed (Resident 149 and 151).
December 8, 2022Standard inspection · 2 citations
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on a review of the facility's policy, clinical record reviews, and staff interview, it was determined that the facility failed to investigate an injury of unknown origin for one of the 12 residents reviewed (Resident 8).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews, staff, and resident interviews, it was determined that the facility failed to ensure the physician's order was followed for one of the 12 residents reviewed (Resident 9).
Fire safety inspections
19 fire safety citations on file: 7 on September 13, 2024, 7 on October 20, 2023, 5 on December 8, 2022.
Every fire safety citation19 citations
- F Install corridor and hallway doors that block smoke.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly sized and located linen or trash receptacles.
- C Provide properly protected cooking facilities.
- C Have simulated fire drills held at unexpected times.
- C Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have elevators that firefighters can control in the event of a fire.
- C Meet other general requirements.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- C To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Have properly located and lighted "Exit" signs.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.65 | 3.89 | 3.86 |
| Registered nurses | 1.15 | 0.79 | 0.69 |
| All nursing staff on weekends | 4.28 | 3.53 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 1.13 | ||
| Nursing staff turnover (share who left in a year) | 38.6% | 44.5% | 45.8% |
| Registered nurse turnover | 42.9% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.80 on weekdays and 4.28 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.29 in April to June 2025 to 4.65 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.65 | 1.15 | 4.80 | 4.28 | 0.0% | 0 of 90 | 46 |
| Oct to Dec 2025 | 4.50 | 1.05 | 4.68 | 4.04 | 0.0% | 0 of 92 | 46 |
| Jul to Sep 2025 | 4.48 | 1.09 | 4.63 | 4.09 | 0.0% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.29 | 1.14 | 4.43 | 3.92 | 0.0% | 0 of 91 | 46 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Pennsylvania
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.2 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.4 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.2 | 1.8 |
Owners and operators
Legal business name: CCRC - BRANDYWINE LLC. CMS links this home to Healthpeak Properties, Inc., a group of 15 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| CCRC Opco Ventures LLC | Direct ownership interest | Organization | 03/19/2026 | |
| CCRC Opco Ventures LLC | 5% or greater indirect ownership interest | Organization | 100% | 03/19/2026 |
| Hcp Ma3 Gp Holding, LLC | Indirect ownership interest | Organization | 03/19/2026 | |
| Hcp Ventures II Trs LLC | Indirect ownership interest | Organization | 03/19/2026 | |
| Healthpeak Op LLC | Indirect ownership interest | Organization | 02/10/2023 | |
| Janus Living Trs LLC | Indirect ownership interest | Organization | 03/19/2026 | |
| Ocean Acquisition I LLC | Indirect ownership interest | Organization | 03/19/2026 | |
| Brandywine Propco 1, LLC | 5% or greater security interest | Organization | 03/19/2026 | |
| Cheng, Patrick | Managing control - governing body | Individual | 01/31/2022 | |
| Russo, Frank | Managing control - governing body | Individual | 01/31/2022 | |
| Malawi, Lorna | Corporate officer | Individual | 02/06/2023 | |
| Life Care Services LLC | Operational/managerial control | Organization | 02/01/2020 | |
| Geyer, Danielle | Operational/managerial control | Individual | 10/09/2022 | |
| Malawi, Lorna | Operational/managerial control | Individual | 02/06/2023 | |
| Ulichney, Andrew | Operational/managerial control | Individual | 01/01/2025 | |
| Hcp Ma3, LP | Limited partnership interest | Organization | 03/19/2026 | |
| Hcp Partners LP | Limited partnership interest | Organization | 03/19/2026 | |
| Blackrock Inc | Adp of the SNF | Organization | 03/19/2026 | |
| Brandywine Propco 1, LLC | Adp of the SNF | Organization | 03/19/2026 | |
| CCRC Propco Ventures, LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Hcp Ma3, LP | Adp of the SNF | Organization | 03/19/2026 | |
| Hcp Partners LP | Adp of the SNF | Organization | 03/19/2026 | |
| Hcp S-H 2014 Member LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Hcp Ventures II Partner LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Hcp/Ls 2011 Reit, LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Healthpeak Op LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Healthpeak Properties Inc | Adp of the SNF | Organization | 03/19/2026 | |
| Janus Living Op LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Janus Living, Inc. | Adp of the SNF | Organization | 03/19/2026 | |
| Janus Member, LLC | Adp of the SNF | Organization | 03/19/2026 | |
| Life Care Services LLC | Adp of the SNF | Organization | 10/21/2025 | |
| Ocean Acquisition I LLC | Adp of the SNF | Organization | 03/19/2026 | |
| State Street Corporation | Adp of the SNF | Organization | 03/19/2026 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 03/19/2026 | |
| Malawi, Lorna | Adp of the SNF | Individual | 05/02/2025 | |
| Ulichney, Andrew | Adp of the SNF | Individual | 04/10/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on September 13, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 13, 2024: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 8, 2022: "Respond appropriately to all alleged violations."
Other nursing homes nearby
- St. Martha Center for Rehabilitation & Healthcare Downingtown, 3.9 mi · 5 of 5 stars · 11 citations
- Hickory House Nursing Home Honey Brook, 5.9 mi · 5 of 5 stars · 16 citations
- Tel Hai Retirement Community Honey Brook, 5.9 mi · 5 of 5 stars · 0 citations
- Exton Post Acute Exton, 7.3 mi · 3 of 5 stars · 35 citations
- Park Lane Post Acute LLC West Chester, 10.2 mi · 5 of 5 stars · 25 citations
- Barclay Friends West Chester, 10.3 mi · 5 of 5 stars · 1 citation
- West Chester Rehabilitation and Healthcare Center West Chester, 10.3 mi · 2 of 5 stars · 42 citations
- Pocopson Home West Chester, 10.5 mi · 5 of 5 stars · 5 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Inn at Freedom Village,the's Medicare star rating?
- CMS rates Inn at Freedom Village,the 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Inn at Freedom Village,the get at its last inspection?
- 2 health deficiencies at the standard inspection on September 13, 2024. The Pennsylvania average is 10.
- Has Inn at Freedom Village,the been fined?
- CMS lists no fines in the last three years.
- Does Inn at Freedom Village,the accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Inn at Freedom Village,the?
- CMS lists 36 owners and managers, and links the home to Healthpeak Properties, Inc.. Legal business name: CCRC - BRANDYWINE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.