Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-03-08For-profit
Freedom Square Health Care Center
10801 Johnson Blvd, Seminole, FL 33772
(727) 398-0379 · Healthpeak Properties, INC.
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 116 |
|---|---|---|---|
| Estimated occupancy | 82.0% | Latest inspection | 2024-02-08 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 43.0 points
Total nurse staffing
Facility: 4.24 hours/day
RN staffing
Facility: 0.78 hours/day
Staff turnover
Facility: 45.7%
Latest health deficiencies
Facility: 7 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 43.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.24 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.78 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 45.7% | 50.7% | 41.8% |
| Latest health deficiencies | 7 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-02-08
7 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-03-08Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-08Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-08Tag 0742 · Severity D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-082021-10-22
7 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0585 · Severity D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-11-22Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-11-22Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-11-22Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-11-22Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-11-22Tag 0761 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-11-22Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-11-222020-02-07
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0684 · Severity E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-03-07Tag 0578 · Severity D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2020-03-07Tag 0761 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-03-07Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2020-03-07Staffing composition
2.53 hours/dayNurse aide
0.93 hours/dayLPN
0.78 hours/dayRN
- Total staffing
- 4.24 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.83 hours/day
- Staff turnover
- 45.7%
- RN turnover
- 42.3%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
3.0 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.3 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
2.3%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
5.1%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
1.5%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
2.3%betterFlorida: 7.0% · County: 7.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What changes were made after inspectors reported actual harm during the 2026-02-18 inspection?
Suggested because of: latest actual harmWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Pinellas County
- Certified beds
- 116
- Average daily residents
- 95.1
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2002-02-19
- CCN
- 106042
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.53172 |
| Lpn hours | 0.92733 |
| Rn hours | 0.77621 |
| Reported total hours | 4.23526 |
| Weekend total hours | 3.8281 |
| Weekend rn hours | 0.63587 |
| Adjusted total hours | 4.06233 |
| Total turnover percent | 45.7 |
| Rn turnover percent | 42.3 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
7Health citations
4Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| CCRC OPCO VENTURES LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BLACKROCK INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| CCRC PROPCO VENTURES, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP MA3 GP HOLDING, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP MA3, LP | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP PARTNERS LP | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP S-H 2014 MEMBER LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP VENTURES II PARTNER LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP VENTURES II TRS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HCP/LS 2011 REIT, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HEALTHPEAK OP LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HEALTHPEAK PROPERTIES INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS LIVING OP LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS LIVING TRS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS LIVING, INC. | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JANUS MEMBER, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| OCEAN ACQUISITION I LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| STATE STREET CORPORATION | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| VANGUARD GROUP INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ARC FREEDOM SQUARE LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CHENG, PATRICK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| COMANDINI, JEFFREY | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| RUSSO, FRANK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COMANDINI, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JANICKI, MARCUS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MINGIONE, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ARC FREEDOM SQUARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| BLACKROCK INC | ADP OF THE SNF | NOT APPLICABLE |
| CCRC PROPCO VENTURES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP MA3, LP | ADP OF THE SNF | NOT APPLICABLE |
| HCP PARTNERS LP | ADP OF THE SNF | NOT APPLICABLE |
| HCP S-H 2014 MEMBER LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP VENTURES II PARTNER LLC | ADP OF THE SNF | NOT APPLICABLE |
| HCP/LS 2011 REIT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHPEAK OP LLC | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHPEAK PROPERTIES INC | ADP OF THE SNF | NOT APPLICABLE |
| JANUS LIVING OP LLC | ADP OF THE SNF | NOT APPLICABLE |
| JANUS LIVING, INC. | ADP OF THE SNF | NOT APPLICABLE |
| JANUS MEMBER, LLC | ADP OF THE SNF | NOT APPLICABLE |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | NOT APPLICABLE |
| OCEAN ACQUISITION I LLC | ADP OF THE SNF | NOT APPLICABLE |
| STATE STREET CORPORATION | ADP OF THE SNF | NOT APPLICABLE |
| VANGUARD GROUP INC | ADP OF THE SNF | NOT APPLICABLE |
| COMANDINI, JEFFREY | ADP OF THE SNF | NOT APPLICABLE |
| JANICKI, MARCUS | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology