Orange County, California · Nursing home
Freedom Village Healthcare Center
5 of 5 overall from CMS
23442 El Toro Road, Lake Forest, CA 92630
At a glance
- Overall rating 5 of 5 Above the state average of 3.2
- Nurse time per resident, per day 5.03 hours Above the state average of 4.52
- Nursing staff who left in a year 35.8% Below the state average of 36.7%
- Health citations, last 3 inspection cycles 56 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 77.1% of 52 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Freedom Village Healthcare Center is a 52-bed nursing home in Lake Forest, California (Orange County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 5.03 nurse staffing hours per resident per day, above the California average of 4.52. CMS lists no fines in the past three years.
- Certified beds
- 52
- Residents per day (average)
- 40.1
- Certified since
- 1989 (37 yrs)
For profit - Partnership Participates in Medicare and MedicaidContinuing care retirement community
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Freedom Village Healthcare Center
Chosen from this home's public data.
- CMS counts 18 health deficiencies in the latest inspection cycle (the standard inspection on Nov 26, 2025 plus complaint and infection-control inspections); the California average is 15.6. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 4.28 hours per resident on weekends against 5.03 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 California average 3.2
- Health inspections 3 of 5 California average 2.8
- Staffing 5 of 5 California average 3.3
- Quality measures 5 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.03 h California average 4.52
- Nurse aides 2.86 h California average 2.65
- Licensed practical nurses 1.47 h California average 1.20
- Registered nurses 0.70 h California average 0.67
- All staff, weekends 4.28 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover35.8%
- California average36.7%
- Registered nurse turnover14.3%
- California average38.1%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.9% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.8% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.4% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.8% | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.0% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.3% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 10.6% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.2% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 56 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 9 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 26, 2025 | 18 | 2 |
| Oct 24, 2024 | 24 | 4 |
| Feb 10, 2023 | 14 | 13 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (56)
-
BPotential for minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 17, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 18, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
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.
Infection Control · Deficient, Provider has date of correction (Dec 18, 2025)
-
BPotential for minimal harm, pattern
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights · Deficient, Provider has date of correction (Dec 18, 2025)
-
BPotential for minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Dec 18, 2025)
-
BPotential for minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 26, 2025)
-
BPotential for minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 13, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 29, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Nov 17, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Nov 17, 2024)
Showing the 30 most recent of 56.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
- Size970 of 1161 by certified beds
- California average residents per day87.9
- ChainNone listed
- Resident or family councilResident
- Homes in Orange County72
Common questions
What is the CMS star rating for Freedom Village Healthcare Center?
Freedom Village Healthcare Center has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 5.
How many beds does Freedom Village Healthcare Center have?
Freedom Village Healthcare Center has 52 certified beds. It averages 40.1 residents per day, about 77.1% of its certified beds.
How much nursing care do residents get at Freedom Village Healthcare Center?
The home reports 5.03 hours of nurse staffing per resident per day, including 0.70 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has Freedom Village Healthcare Center been fined?
CMS lists no fines for this home in the past three years.
Does Freedom Village Healthcare Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Laguna Hills Health and Rehabilitation Center 208beds 91.5%in use 3.91nurse hours a day
- 4 of 5 Villa Valencia Healthcare Center 59beds 89.2%in use 4.47nurse hours a day
- 3 of 5 Palm Terrace Healthcare & Rehabilitation Center 99beds 93.1%in use 4.34nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Orange County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 555391. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.