Nursing Home

Freedom Village Healthcare Center

23442 El Toro Road, Lake Forest, CA 92630
52 certified beds 40 residents per day on average Continuing Care Retirement Community

CMS Five-Star Quality Rating

5 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
5.0 hours

CA average: 4.5 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.7 hours

CA average: 0.7 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
4.3 hours

CA average: 4.1 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
35.8%

CA average: 36.7% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Ownership

Ownership type
For profit - Partnership
Who owns this facility — 24 entries in CMS's ownership records expand ↓
  • Stringer Family Partnership Organization
    Indirect owner (≥5%) since 06/01/2009
  • Debban, Susan Individual
    Indirect owner (≥5%) since 10/26/1989
  • Francese, Arsenio Individual
    Indirect owner (≥5%) since 01/01/1986
  • Mangiaracina, Emily Individual
    Indirect owner (≥5%) since 01/01/2022
  • Murphy, Timothy Individual
    Indirect owner (≥5%) since 01/05/2020
  • Roskamp, Robert Individual
    Indirect owner (≥5%) since 10/26/1989
  • Roskamp, Ruth Individual
    Indirect owner (≥5%) since 10/26/1989
  • Roskamp, Steven Individual
    Indirect owner (≥5%) since 01/01/2022
  • Stringer, Thomas Individual
    Indirect owner (≥5%) since 10/26/1989
  • Wade, Richard Individual
    Indirect owner (≥5%) since 10/26/1989

…and 14 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 18 health (CA avg 15.7) · 2 fire (CA avg 6.3) Details

56 deficiencies cited across recent inspection cycles. Most recent survey: June 2, 2026.

Most recent inspection cycle: 18 health deficiencies · CA average: 15.7 · National: 9.3

19 fire-safety deficiencies cited — most often smoke (6) and emergency preparedness (6).

Most recent fire-safety inspection (2025-11-26): 2 deficiencies · CA average: 6.3 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Freedom Village Healthcare Center compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Freedom Village Healthcare Center's overall star rating is 5★; the median among the 8 peers reporting it is 3.5★.

Freedom Village Healthcare Center has the highest overall star rating of the 9 nursing homes within 25 miles.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 5★ 3.5★ 4★
Health inspections reported by 8 of 8 nearby peers 3★ 2.5★ 4★
Staffing reported by 7 of 8 nearby peers 5★ 3★ 5★
Quality measures reported by 7 of 8 nearby peers 5★ 4★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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