Freedom Village Healthcare CenterCMS ratings, inspections and fines
- Address
- 23442 El Toro Road, Lake Forest, CA 92630
- CCN
- 555391
- Ownership type
- For-profit, partnership
- Certified beds
- 52
- Chain
- None in the CMS record
- Residents per day
- 40
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Freedom Village Healthcare Center an overall rating of 5 of 5 stars. The last standard survey was on 26 Nov 2025. The latest survey cycle has 18 health citations. The median for nursing homes in California is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Orange County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 72 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Nov 2025 | 18 | 14 |
| Cycle 2 | 24 Oct 2024 | 24 | 14 |
| Cycle 3 | No date | 14 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 17 Jun 2026 |
| 26 Nov 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | B | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0761 | 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. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 18 Dec 2025 |
| 26 Nov 2025 | F0887 | 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. | D | Standard survey | 18 Dec 2025 |
| 26 Sep 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 26 Oct 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 13 Jan 2025 |
| 6 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Dec 2024 |
| 6 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Dec 2024 |
| 24 Oct 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0578 | 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. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Nov 2024 |
| 24 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | B | Complaint investigation | 17 Nov 2024 |
| 24 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0761 | 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. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | B | Complaint investigation | 17 Nov 2024 |
| 24 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 17 Nov 2024 |
| 24 Oct 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Nov 2024 |
| 24 Oct 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 17 Nov 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Feb 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0761 | 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. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 12 Mar 2023 |
| 10 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 5.03 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.70 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.47 | 1.20 | |
| Nurse aides | 2.86 | 2.65 | |
| All nurse staff, weekends | 4.28 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 35.8%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 14.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.6% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, partnership
- Setting
- Continuing care retirement community
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Freedom Management Co LLC | Operational/managerial control | 26 Oct 1989 | |
| Freedom Properties West LLC | General partnership interest | 1 Jan 1986 | |
| Hemet Retirement Properties West, LLC | General partnership interest | 31 Dec 2024 | |
| Tarayan Inc | General partnership interest | 26 Oct 1989 | |
| Freedom Management Co LLC | Adp of the snf | 7 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Orange County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Laguna Hills Health and Rehabilitation Center | Laguna Hills | 1 of 5 | 41 | $0 | 25 Aug 2025 | |
| Villa Valencia Healthcare Center | Laguna Hills | 4 of 5 | 21 | $0 | 16 May 2025 | |
| Palm Terrace Healthcare & Rehabilitation Center | Laguna Hills | 3 of 5 | 24 | $50,950 | 9 Feb 2026 | |
| Trabuco Hills Post Acute | Lake Forest | 2 of 5 | 54 | $0 | 4 Mar 2026 | |
| Orchards Skilled Nursing | Rancho Mission Viejo | 5 of 5 | 10 | $0 | 17 Apr 2025 | |
| Regents Point - Windcrest | Irvine | 4 of 5 | 16 | $0 | 10 Jun 2026 | |
| San Juan Hills Healthcare Center | San Juan Capistrano | 4 of 5 | 19 | $0 | 22 Jan 2026 | |
| Foothill Regional Medical Center D/P SNF | Tustin | 4 of 5 | 11 | $0 | 5 Feb 2026 | |
| Advanced Rehab Center of Tustin | Santa Ana | 1 of 5 | 39 | $37,182 | 8 May 2026 | |
| Newport Subacute Healthcare Center | Costa Mesa | 1 of 5 | 47 | $14,380 | 29 Aug 2025 | |
| Plaza Healthcare Center | Santa Ana | 1 of 5 | 31 | $2,470 | 16 Jun 2025 | |
| South Coast Post Acute | Santa Ana | 2 of 5 | 23 | $0 | 28 Feb 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Freedom Village Healthcare Center (CCN 555391). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/freedom-village-healthcare-center-lake-forest-ca-555391/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Freedom Village Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 2 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 24 Oct 2024.
- Who operates Freedom Village Healthcare Center?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists no chain for the home. The CMS ownership file names Freedom Management Co LLC for operational or managerial control. This site does not show the names of persons.
- Is Freedom Village Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.