Hearth Record

The Inn at Freedom Village

A nursing home in Holland, Michigan 49423

145 Columbia Avenue, Holland, Michigan 49423. (616) 820-7600.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 8 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

1 health citation at the latest inspection cycle

The Michigan average is 9.9.

Last standard inspection Mar 3, 2026.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

8 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

8 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 8 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Mar 3, 2026: standard inspection1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Jan 30, 2025: standard inspection3 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 7, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 7, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2025.

Feb 21, 2024: standard inspection4 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 1, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 1, 2024.

  • 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.

    Rule F0838. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 1, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 1, 2024.

Is it certified, and in good standing?

  • Certified for Medicare since Mar 22, 1994.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 39 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 0 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

5.59 nurse hours per resident per day

The Michigan average is 4.03.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMichigan average
Nurse hours per resident per day5.594.03
Of which registered nurses1.550.78
At weekends4.913.50
Nursing staff turnover40%44.6%
Registered nurse turnover38.5%39.2%
Administrators who left0Not given

Who owns it?

  • CCRC OPCO Ventures LLC owns 100% directly since Aug 29, 2014.
  • Life Care Services LLC runs it.
  • 7 owners or officers are people: Patrick Michael Cheng (on the governing body (managing control)); Alexis Hitchcock (runs it (operational or managerial control)); Brittney Ann Morse (corporate officer, 0%); Brittney Ann Morse (runs it (operational or managerial control), 0%); Brittney Ann Morse (additional disclosable party (controls, leases property to, or provides services to the home)); Iris F Boettcher (runs it (operational or managerial control)); Iris F Boettcher (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Healthpeak Properties, Inc. (15 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • A real-estate investment trust is among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Janus Living Op LLCOwns a share through other companies100%Mar 19, 2026
CCRC OPCO Ventures LLCOwns a share directly100%Aug 29, 2014
Janus Living Trs LLCOwns a share through other companies100%Mar 19, 2026
Healthpeak Op LLCOwns a share through other companies81.64%Feb 10, 2023
Healthpeak Properties Inc.Owns a share through other companies81.64%Feb 1, 2020
Janus Living, Inc.Owns a share through other companies71.14%Mar 19, 2026
Janus Member, LLCOwns a share through other companies52.78%Mar 19, 2026
Hcp S-H 2014 Member LLCOwns a share through other companies43.8%Mar 19, 2026
CCRC Propco - Holland LLCOwns a share through other companies28.86%Mar 19, 2026
HCP Partners LPLimited partner16.3%Mar 19, 2026
HCP Partners LPOwns a share through other companies16.3%Mar 19, 2026
Vanguard Group Inc.Owns a share through other companies13.09%Mar 19, 2026
HCP Ventures II Partner LLCOwns a share through other companies11.88%Mar 19, 2026
Hcp Ma3, LPLimited partner9.9%Mar 19, 2026
Hcp Ma3, LPOwns a share through other companies9.9%Mar 19, 2026
Hcp/Ls 2011 Reit, LLCOwns a share through other companies9.59%Mar 19, 2026
State Street CorporationOwns a share through other companies6.15%Mar 19, 2026
Ocean Acquisition I LLCOwns a share through other companies1.63%Mar 19, 2026
An organisation CMS lists without a nameOwns a share through other companies1.63%Mar 19, 2026
HCP Ventures II Trs LLCOwns a share through other companies0.24%Mar 19, 2026
Hcp Ma3 Gp Holding, LLCOwns a share through other companies0.1%Mar 19, 2026
HCP Partners LPAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Hcp/Ls 2011 Reit, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Janus Living Op LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Janus Member, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Ocean Acquisition I LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Hcp S-H 2014 Member LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Blackrock Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Hcp Ma3, LPAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Life Care Services LLCRuns it (operational or managerial control)0%Feb 1, 2020
Life Care Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 27, 2025
State Street CorporationAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Healthpeak Op LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
CCRC Propco Ventures, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Healthpeak Properties Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
Janus Living, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026
CCRC Propco - Holland LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2020
HCP Ventures II Partner LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2026

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Michigan average 3.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating5 of 5
Health inspections5 of 5
Staffing5 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 18.8 miles, this one had the 12th most health citations at the latest inspection cycle (1; the middle value was 8).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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