Freedom Village Healthcare Center
23442 El Toro Road · Lake Forest, CA · 92630 · 9494720277
52 certified beds For profit - Partnership Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 4.44 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (55 in the current record)
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Potential for harm · D November 26, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 18, 2025 · Resident Rights
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Potential for harm · D November 26, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 18, 2025 · Resident Rights
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Potential for harm · D November 26, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 18, 2025 · Pharmacy Service
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Potential for harm · D November 26, 2025
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.
Corrected December 18, 2025 · Pharmacy Service
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Potential for harm · E November 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2025 · Nutrition and Dietary
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Potential for harm · D November 26, 2025
Provide and implement an infection prevention and control program.
Corrected December 18, 2025 · Infection Control
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Potential for harm · D November 26, 2025
Implement a program that monitors antibiotic use.
Corrected December 18, 2025 · Infection Control
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Potential for harm · D November 26, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 18, 2025 · Infection Control
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Potential for harm · D November 26, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected December 18, 2025 · Infection Control
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No harm found · B November 26, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected December 18, 2025 · Resident Rights
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No harm found · B November 26, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 18, 2025 · Resident Rights
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No harm found · B November 26, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 26, 2025 · Quality of Life and Care
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No harm found · B December 26, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 29, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 17, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 17, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
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.
Corrected November 17, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 17, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 17, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555391 · certified since October 26, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.