I loved the spotless, bright home - spacious rooms, atrium/patio with great views - run by an experienced RN-owner and very caring staff with spa/therapy, house-call doctors, fresh meals and engaging activities that helped residents thrive. It's expensive (about $3,500+/mo plus extra fees), and staffing can be inconsistent with no overnight nurses, which led to lapses in personal care, communication, and safety concerns in our experience. Overall a lovely, well-appointed place I'd recommend with reservations if you can afford it and don't need 24-hour coverage.
at-home vitamin therapy and house-call visits by local doctors
three daily meals and snacks with homemade options
daily activities, crafts, and lifestyle/wellness programs
strong network of healthcare professionals
transportation services available
prompt paperwork and organized admissions
extreme cleanliness and attention to presentation
Cons
staff turnover and inconsistent caregivers
not 24-hour care; no overnight staff
additional fees for services (transportation $80, insulin care $800)
high monthly rate reported ($3,500)
shared-room arrangements possible
residents or families responsible for medication refills
reports of inadequate feeding assistance and diaper care
reported falls and injuries (bruises and cuts) for at least one resident
reported rapid weight loss for at least one resident
poor communication about incidents and medical condition updates
no bottled water provided (tap/faucet water only)
Summary review
Overall impression: Reviews paint a mixed but predominantly positive picture of Villas by Doctor Roya. Many reviewers emphasize the facility’s attractive, home-like environment, cleanliness, and bright, open common spaces (atrium, tall-ceiling main room, large windows) with scenic golf-course views and outdoor seating. Several reviewers describe the setting as luxury or upscale, noting well-decorated and spacious individual rooms (some with patio access) and a high level of presentation. The owner’s clinical background as a registered nurse is repeatedly mentioned and creates a sense of clinical oversight and competence for many families.
Facilities and amenities: The property’s physical features are consistently praised—clean rooms, bright communal areas, backyard seating, and thoughtful safety elements such as ground-level mattresses and walker assistance. On the services side, the facility offers a broad set of wellness-oriented amenities: spa services, physical therapy, at-home vitamin therapy, house-call visits by local doctors, and a lifestyle/wellness program. Dining is noted positively, with three daily meals, snacks, and homemade options. Organized activities, crafts, and structured programs to support emotional and physical well-being are also highlighted, contributing to an engaging daily life for residents. Transportation is available as an add-on service.
Staff and care quality: Reviews show recurring praise for caring, hands-on, and experienced caregivers; several commenters specifically call out attentive individuals and positive interactions (games, crafts, and personalized attention). However, a significant counter-theme is staff consistency. Multiple reviewers report staff turnover and inconsistent caregivers, which undermines continuity of care. When staffing is stable, families note improved health outcomes (diabetes under control, improved mobility); when staffing is inconsistent, reviewers report concerning lapses in basic care.
Notable concerns about health, safety, and communication: While many experiences are positive, there are serious, specific negative reports that prospective families should weigh carefully. At least one family described multiple care failures: lack of feeding assistance, soiled/unchanged diapers, rapid weight loss, unreported falls resulting in bruises and cuts, and poor communication from staff (no updates about changing condition). These accounts point to potential gaps in supervision, incident reporting, and medical monitoring for frailer residents. Additionally, the facility is not staffed overnight and does not provide 24-hour care, which is an important limitation to confirm for residents with higher medical or supervision needs.
Cost, policies, and logistical details: Reviewers consistently note above-average costs. One review listed a monthly base rate of $3,500 with additional charges such as $800 for insulin care and $80 for transportation. Shared rooms can be part of the living options. Families are also responsible for medication refills, and bottled water was not provided (tap water only) according to one report. The RN owner’s involvement, prompt paperwork, and organized admission materials are positives, but the extra fees, shared-room potential, and non-24-hour model should be clarified during inquiries.
Patterns and recommendations for prospective families: The dominant pattern is that Villas by Doctor Roya offers a thoughtful, clean, and well-appointed living environment with many wellness-focused services and an owner who is clinically trained. However, quality appears to depend strongly on staff consistency and the acuity level of the resident. Prospective families should (1) verify current staffing levels and turnover history, (2) confirm whether overnight or 24-hour care is available if needed, (3) ask for details about incident reporting and communication protocols, (4) get a clear fee breakdown (base rate, medical add-ons, transportation, shared vs. private rooms), and (5) request references from current or recent families, especially for residents with similar care needs. For residents with moderate-to-low medical needs who thrive in a social, wellness-focused environment, many reviewers recommend Villas highly; for higher-acuity residents or families who require strict medical oversight and guaranteed overnight staffing, the reported inconsistencies and documented lapses suggest careful vetting is essential.
Location
About Villas by Doctor Roya - Elderly Assisted Living in Lake Forest
Villas by Doctor Roya - Elderly Assisted Living in Lake Forest offers a supportive environment for seniors who want a homelike setting with care focused on comfort, safety, and independence. The community has villa-style residences with studio, single room, and two-bedroom options for assisted and independent living, plus semi-private and private rooms in the nursing home section. Staff provide assistance with daily needs like dressing, bathing, grooming, and toileting, along with medical care including medication support, podiatry, nursing, wound care, and occupational therapy. The place offers social activities, arts and crafts, educational programs, and health and wellness options, aiming to keep residents active and engaged. For meals, the dining services support nutrition and offer comfortable dining amenities. The property includes features like activity and game rooms, a dining room, fitness center, salon and barbershop, and guest parking. Residents can use Wi-Fi, washers and dryers, and have cable TV in their rooms. Safety and independence are supported by handicap-accessible features, sprinkler systems, and ongoing maintenance. There are also transportation services to help residents get where they need to go. This residential care home focuses on each person's needs, offering personalized care plans and support for both assisted living and memory care, with an emphasis on wellbeing and quality of life for elderly residents.
People often ask...
Villas by Doctor Roya - Elderly Assisted Living in Lake Forest offers assisted living, memory care, and board and care.
There are 14 photos of Villas by Doctor Roya - Elderly Assisted Living in Lake Forest on Mirador.
The full address for this community is 23232 La Vaca St, Lake Forest, CA, 92630.
Yes, Villas by Doctor Roya - Elderly Assisted Living in Lake Forest offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
44
Inspections
9
Type A Citations
7
Type B Citations
3
Years of reports
13 Mar 2023
13 Mar 2023
Identified understanding of license type, resident populations, and program, admission policies, staffing requirements and training, restrictive/prohibited health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
18 Apr 2023
18 Apr 2023
Found home ready for licensure after a pre-licensing visit. Safety features included self-closing exit doors with alarms, wireless smoke/CO detectors, and mounted fire extinguishers; medications and first-aid supplies were secured; food, linens, and supplies were stocked; capacity for six residents (0 ambulatory, 5 non-ambulatory, 1 bedridden).
23 May 2025
23 May 2025
Found hot water temperatures in resident bathrooms around 106–107 degrees Fahrenheit today, down from 125.7–128.4 degrees recorded during the prior annual check. No deficiencies were cited, and the previous citation was cleared at the time of this visit.
§ 9058
11 Apr 2024
11 Apr 2024
Found no deficiencies; safety measures, equipment, and supplies were in good order, with secure medications and functioning alarms. Noted the administrator's certificate had expired, but a renewal submission had been made and is pending.
28 Apr 2025
28 Apr 2025
Identified deficiencies during an unannounced visit, including missing pre-admission appraisals for several residents and outdated reappraisals, plus medications and sharps stored in locked locations. Observed five residents (one on hospice) with staff on site; safety measures appeared generally in place, though some records and procedures needed updates.
§ 9058
§ 87303(e)(2)
§ 87456(a)(2)
§ 87463(a)
26 Sept 2023
26 Sept 2023
Found no health and safety concerns after the health and safety check. Verified the administrator's license renewal was completed before expiration with payment received, and noted that safety measures and supplies were in place, including functioning alarms, secured hazards, adequate food stock, a charged fire extinguisher, and an in-house emergency plan and first aid kit.
30 Mar 2022
30 Mar 2022
Identified that hot water was not delivered by the water heater. Found hardwired smoke detectors and carbon monoxide alarms tested and operating; medications and toxic cleaning supplies were securely stored, and the home has six private bedrooms for six residents.
31 Jan 2024
31 Jan 2024
Found no health or safety concerns at the site; safety systems were functioning, restrooms were in good repair, and food and water supplies met requirements. Found administrator consent for the visit and that required paperwork and notices were in place.
05 May 2022
05 May 2022
Confirmed hot water was available, measuring 105.8°F in residents’ restrooms, and the item identified on 03/30/2022 is now corrected. Observed readiness for licensure at this site.
09 Nov 2023
09 Nov 2023
Found no health and safety concerns after a health and safety check, with one resident in care, and observed that safety systems and living areas were in good order. Noted the administrator certificate renewal and payment were completed before expiration.
05 Dec 2023
05 Dec 2023
Found no health and safety concerns after an unannounced case management visit, with alarms, detectors, and safety equipment functioning and restrooms in good repair with medications securely locked. Found adequate food and water supplies, a current disaster and evacuation plan, a complete first aid kit, and documentation showing the administrator's certification renewal had been completed before expiration.
02 Aug 2023
02 Aug 2023
Found that there was 1 resident and 1 staff on duty; the administrator's license renewal was completed before expiration, safety systems and supplies were in good order, and no health or safety concerns or citations were identified.
06 Jul 2023
06 Jul 2023
Found that during an unannounced visit, three residents were in care (one on hospice) with two staff on duty, and the administrator’s license renewal was pending despite payment being provided. Observed functional safety devices, good restroom conditions, water at 109.2°F, adequate food supplies, secured medications/toxins, a charged fire extinguisher, and available emergency plans and back-up supplies; no health or safety concerns and no citations were noted.
09 Aug 2022
09 Aug 2022
Identified safety deficiencies, including nonfunctional auditory exit alarms and unlocked cabinets or drawers containing toxins, disinfectants, and knives. Noted COVID-19 signs posted, one resident in care, and civil penalties issued.
§ 87309(a)
§ 87705(f)(1)
§ 87355(b)
§ 87411(f)
§ 87411(c)(1)
18 Oct 2023
18 Oct 2023
Found renewal documentation showed the administrator’s license was renewed before expiration. Found no health or safety concerns observed; detectors and alarms were functional, medications and sharp items were secured, the fire extinguisher was charged and mounted, food and water supplies met requirements, and an emergency plan with backup resources plus a complete first aid kit were in place on the premises.
01 Sept 2022
01 Sept 2022
Identified no residents or staff on site during the visit. Found that prior deficiencies were cleared, including secure storage of chemicals, staff criminal record clearances, locked knives and other sharp items, health screenings, and first-aid training.
28 Feb 2022
28 Feb 2022
Confirmed the applicant completed COMP II by telephone, identity verified, and understood the applicable rules, with advice to submit a signed document with a photo ID. Found understanding across key areas including operation, staff and administrator qualifications, program policies, grievances and community resources, physical plant and food service, and the required documentation such as background checks, health screening, fire clearance, first aid/CPR, administrator certification, financial verification, pre-licensing inspection, compliance history, and control of property.
01 Sept 2022
01 Sept 2022
Identified a continuation case management visit after concluding POC clearance with the site administrator to discuss installing a Hyperbaric Oxygen Treatment Chamber. Observed no staff or residents present, and explained that the administrator must submit a formal email detailing the purpose of the inquiry, the plan of care, benefits, individuals it will serve, and who will be responsible; the email must be written in her own words and will be elevated for regional approval or denial.
22 May 2023
22 May 2023
Found no health or safety concerns; observed functioning smoke and CO detectors, proper restrooms, locked medications and toxins, adequate food and water supplies, and a charged fire extinguisher with one resident and one staff on duty, and entry consent acknowledged. Noted that the administrator’s certificate had expired on 6/24/23.
28 Apr 2023
28 Apr 2023
Found no residents or staff during an unannounced entry, with access permitted by a realtor; toured the interior and exterior and observed empty bedrooms with no personal belongings. Found no two-day perishable foods but seven-day nonperishable supplies, noted the site was not operating today while ownership was changing, and that an exit interview was conducted.
15 May 2025
15 May 2025
Determined that the allegation that the licensee/administrator engaged in crimes inimical to residents’ welfare was supported by interviews, observations, and records under the preponderance of evidence standard. The original license was no longer active, and the site is now licensed to a different licensee.
§ 1669.58(a)(2)
22 Feb 2024
22 Feb 2024
Found no health or safety concerns; observed functioning smoke and CO detectors, secure storage for sharp items and medications, and adequate food and emergency supplies, with a current disaster plan and a complete first aid kit in place.
30 Mar 2023
30 Mar 2023
Found an unannounced health and safety check conducted; exterior walk-through showed the site empty, the administrator unavailable by phone, and an exit interview conducted by phone.
04 Aug 2022
04 Aug 2022
Conducted an unannounced case management visit, discussed mandated reporting timelines, incident and death reporting, and related regulations with administrators. No deficiencies or citations were issued, and an exit interview was conducted.
11 Apr 2024
11 Apr 2024
Reviewed an unannounced annual inspection confirming the facility met safety, health, and emergency preparedness standards with no deficiencies noted. The inspection included checks of resident accommodations, medications, food supplies, and outdoor safety features.
22 Feb 2024
22 Feb 2024
Confirmed that the facility met safety standards with operational alarms, proper storage of medications, sufficient food supplies, and no health or safety concerns observed during the visit.
31 Jan 2024
31 Jan 2024
Confirmed that the facility met health and safety standards during an unannounced visit, including operational alarms, properly maintained restrooms, accessible emergency supplies, and no safety concerns identified.
05 Dec 2023
05 Dec 2023
Confirmed that the facility met safety and health standards during an unannounced visit, with operational alarms, properly maintained restrooms, secure medications, adequate supplies, and no health or safety concerns observed.
09 Nov 2023
09 Nov 2023
Confirmed that the facility met safety standards, including operational alarms, proper storage of medications, sufficient food supplies, and overall cleanliness, with no health or safety concerns observed during the visit.
18 Oct 2023
18 Oct 2023
Confirmed the facility met safety requirements, including operational alarms, proper storage of medications and toxins, and adequate emergency supplies, with no health or safety concerns observed during the visit.
26 Sept 2023
26 Sept 2023
Verified that the facility met safety and health standards, including functioning alarms, proper food supply, medication safety, and emergency preparedness, without any observed concerns or violations.
02 Aug 2023
02 Aug 2023
Found that the facility met health and safety requirements, including operational alarms, proper supplies, and secured medications, during an unannounced visit with no issues noted.
06 Jul 2023
06 Jul 2023
Confirmed that the facility met safety requirements, including operational alarms, proper food supplies, and locked medications, with no health or safety concerns observed during an unannounced visit.
22 May 2023
22 May 2023
Confirmed that the facility was safe for residents, with operational safety devices, proper food supplies, and no health or safety concerns observed during the visit.
28 Apr 2023
28 Apr 2023
Checked the facility during a planned visit, found no residents or staff present, and noted that there was no two-day perishable food supply but sufficient nonperishable food stocks; owner was in the process of changing ownership.
18 Apr 2023
18 Apr 2023
Reviewed the facility’s structure, safety features, resident accommodations, supplies, and documentation, determining it met licensure requirements and was ready for approval. Conducted an exit interview and left the licensing packet for the applicant.
30 Mar 2023
30 Mar 2023
Conducted an unannounced health and safety check, found the facility empty during the visit, and spoke with the administrator by phone to complete the process.
13 Mar 2023
13 Mar 2023
Confirmed that the applicant and administrator completed required training, verified their identity, and demonstrated understanding of licensing laws, facility operations, staff requirements, emergency procedures, and reporting protocols.
01 Sept 2022
01 Sept 2022
Confirmed that the licensee was advised to submit a detailed written request if interested in installing a Hyperbaric Oxygen Treatment Chamber, which will then be reviewed for approval.
09 Aug 2022
09 Aug 2022
Verified that the facility met staffing and safety requirements, but identified deficiencies in alarm systems, unlocked cabinets with toxins and sharps, and missing internet-enabled devices for residents, leading to citations and civil penalties.
§ 87705(f)(1)
§ 87411(c)(1)
§ 87411(f)
§ 87309(a)
§ 87355(b)
04 Aug 2022
04 Aug 2022
Reviewed documentation and discussed reporting requirements and regulations with facility staff; no deficiencies or citations were issued during the visit.
05 May 2022
05 May 2022
Confirmed that the water heater was repaired and delivering hot water at a safe temperature, and the facility appeared ready for licensure following the correction.
30 Mar 2022
30 Mar 2022
Reviewed the premises and operational systems of a residential care setting for elderly adults, noting overall compliance with safety and facility standards but identifying that the water heater was not providing hot water, which required correction.
28 Feb 2022
28 Feb 2022
Confirmed that the applicant/administrator completed required verification and understood key operational and regulatory aspects through a telephone interview, and was advised to submit necessary documentation to the licensing office.
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Villas by Doctor Roya - Elderly Assisted Living in Lake Forest
