FREEDOM VILLAGE HEALTHCARE CENTER
23442 EL TORO ROAD, LAKE FOREST, CA 92630 · CCN 555391
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 52
- Avg residents/day
- 39.8
- Phone
- 9494720277
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-26 | 17 | 15.6 | 9.5 | +1.4 worse |
| 2 | 2024-10-24 | 24 | 17.4 | 9.8 | +6.6 worse |
| 3 | 2023-02-10 | 14 | 17.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.07 | 43.4% |
| RN staffing (reported) | 0.77 | 57.1% |
| Total nurse staffing (adjusted) | 4.56 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (55)
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- BF0574The resident has the right to receive notices in a format and a language he or she understands.2025-11-26 · Health · corrected 2025-12-18
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- BF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-26 · Health · corrected 2025-12-18
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-26 · Health · corrected 2025-12-18
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0887Educate 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.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-09-26 · Health · corrected 2025-10-26
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-26 · Health · corrected 2025-01-13
Potential for minimal harm
- DF0610Respond appropriately to all alleged violations.2024-12-06 · Health · corrected 2024-12-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-06 · Health · corrected 2024-12-29
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0578Honor 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.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- BF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-24 · Health · corrected 2024-11-17
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0758Implement 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.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0761Ensure 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.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- BF0803Ensure 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.2024-10-24 · Health · corrected 2024-11-17
Potential for minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-10-24 · Health · corrected 2024-11-17
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0758Implement 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.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0761Ensure 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.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-02-10 · Health · corrected 2023-03-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STRINGER FAMILY PARTNERSHIP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2009-06-01 |
| DEBBAN, SUSAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1989-10-26 |
| FRANCESE, ARSENIO | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1986-01-01 |
| MANGIARACINA, EMILY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-01-01 |
| MURPHY, TIMOTHY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-01-05 |
| ROSKAMP, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1989-10-26 |
| ROSKAMP, RUTH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1989-10-26 |
| ROSKAMP, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-01-01 |
| STRINGER, THOMAS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1989-10-26 |
| WADE, RICHARD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1989-10-26 |
| FREEDOM PROPERTIES WEST LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | 1986-01-01 |
| HEMET RETIREMENT PROPERTIES WEST, LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | 2024-12-31 |
| QUANTUM BASICS II, LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | 2020-01-05 |
| TARAYAN INC | Organization | GENERAL PARTNERSHIP INTEREST | — | 1989-10-26 |
| FREEDOM MANAGEMENT CO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1989-10-26 |
| BEKERIAN, HRAG | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-27 |
| ROSKAMP, CHERYL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-09 |
| SUCKIEL, JENNIFER | Individual | CORPORATE DIRECTOR | — | 2019-06-15 |
| ROSKAMP, CHERYL | Individual | CORPORATE OFFICER | — | 1986-01-01 |
Other facilities in LAKE FOREST
| Name | Overall | Beds |
|---|---|---|
| TRABUCO HILLS POST ACUTE | ★★☆☆☆ | 175 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.