Freedom Village Healthcare Center — Lake Forest, CA
This page sets out what the federal inspection record says about Freedom Village Healthcare Center, a 52-bed nursing home at 23442 El Toro Road, Lake Forest, California. Every figure below is copied from data the Centers for Medicare & Medicaid Services (CMS) publishes about nursing homes that take Medicare or Medicaid. We have not added our own judgment to it.
The record at a glance
| Federal ID (CCN) | 555391 |
| Legal business name | Casa Pacifica |
| Address | 23442 El Toro Road, Lake Forest, CA 92630 |
| Phone listed with CMS | (949) 472-0277 |
| Ownership type | For profit – Partnership |
| Certified beds | 52 |
| Average residents per day | 40.1 |
| Certified since | October 26, 1989 |
| Overall CMS rating | 5 out of 5 |
| Health inspection rating | 3 out of 5 |
| Staffing rating | 5 out of 5 |
| Quality measures rating | 5 out of 5 |
| Total nursing staff turnover | 35.8% |
| Most recent standard inspection | November 26, 2025 |
CMS scores nursing homes from one to five stars. The health inspection rating is set relative to other nursing homes in the same state, so a one-star home is in the bottom fifth in California, not the bottom fifth nationally. Staffing and quality measure ratings are scored against national thresholds.
Inspectors have cited this home 42 times since January 2024
None reached severity level G, the level CMS calls actual harm. 9 came from complaints rather than routine inspections. Every one of them is listed below, with its date and what the rule required.
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Inspection citations since January 2024
CMS records 42 health citations at this facility from inspections between October 24, 2024 and June 2, 2026.
| Inspected | Tag | What the rule requires | Scope and severity | Status |
|---|---|---|---|---|
| Jun 2, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (complaint) | B — Pattern, Potential for minimal harm | Correction date Jun 17, 2026 |
| Nov 26, 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D — Isolated, Potential for more than minimal harm | Correction date Dec 18, 2025 |
| Nov 26, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E — Pattern, Potential for more than minimal harm | Correction date Dec 18, 2025 |
| Nov 26, 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D — Isolated, Potential for more than minimal harm | Correction date Dec 18, 2025 |
| Nov 26, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D — Isolated, Potential for more than minimal harm | Correction date Dec 18, 2025 |
| Nov 26, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D — Isolated, Potential for more than minimal harm | Correction date Dec 18, 2025 |
The wording in the third column is CMS’s own plain-language summary of the federal rule that was cited, not a description of what happened. This table shows the 6 most recent citations. The other 36 are in the CMS file linked below.
How to read scope and severity
Every citation gets a letter from A to L. The letter carries two things at once: how serious the problem was, and how many residents it reached.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm | G | H | I |
| No actual harm, potential for more than minimal harm | D | E | F |
| No actual harm, potential for minimal harm | A | B | C |
“Immediate jeopardy” is CMS’s term for a situation that has caused, or is likely to cause, serious injury, harm, impairment or death. It requires the home to act at once.
What this page does not tell you
- A citation is an inspector’s finding against a federal rule. It is not a court judgment, and the facility may be disputing it. Citations marked “under dispute” above are in CMS’s formal review process.
- Citation counts partly reflect how often a home was inspected and how many complaints were filed about it. A home with more citations has not automatically given worse care than one with fewer.
- Bigger homes have more residents, more staff and more inspections, so they tend to accumulate more citations.
- None of this says anything about the care any one resident received. A home with a clean record can still fail somebody, and a home with a bad record can be caring for your mother well.
- This is a snapshot. CMS updates these files monthly, and the figures here are from the file dated August 1, 2026.
Where this comes from
- Ratings, ownership, beds and penalties: CMS Provider Information dataset (4pq5-n9py), file dated August 1, 2026.
- Citations: CMS Health Deficiencies dataset (r5ix-sfxw), file dated August 1, 2026, filtered to inspections on or after January 1, 2024.
- This facility on the government’s own site: Medicare Care Compare.
- Retrieved August 29, 2026. Our method is set out in Editorial policy and How we count.
For the facility
If anything on this page is wrong, out of date or missing context, we will correct it. Freedom Village Healthcare Center and anyone acting for it can reach the watchdog team through our corrections and right of reply page. We publish the response alongside the record.
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