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.
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.