California › Orange County › Rancho Mission Viejo
Orchards Skilled Nursing
1 Amistad Drive, Rancho Mission Viejo, CA 92694
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Orchards Skilled Nursing is a For-profit, limited liability company nursing home in Rancho Mission Viejo, California, certified for 49 beds and caring for about 45 residents a day.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 5 and quality measures 5.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (10, 17, 12 by cycle, most recent first), none at the actual-harm level. That is 79.6 per 100 beds, more than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.4 hours per resident per day (0.9 RN), above the California median of 4.2; nursing staff turnover is 33.3%.
Compared with county, state and nation
| Measure | This facility | Orange Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 66 | 44 | 28.7 |
| Citations per 100 beds | 79.6 | 69.7 | 51.1 | 26.8 |
| Total nurse hours per resident day | 5.4 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 33.3% | 30.8% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (72 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Apr 2025, 4 Apr 2024.
Severity mix: D ×28 E ×3 F ×1 B ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0578 | 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. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | B | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 9 May 2025 |
| 4 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0761 | 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. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0803 | Ensure 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. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | Complaint investigation | 26 Apr 2024 |
| 4 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Standard survey | 26 Apr 2024 |
| 4 Apr 2024 | F0814 | Dispose of garbage and refuse properly. | B | Standard survey | 26 Apr 2024 |
| 3 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0578 | 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. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0758 | 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. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0761 | 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. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | B | Standard survey | 22 Aug 2023 |
| 3 Aug 2023 | F0814 | Dispose of garbage and refuse properly. | B | Standard survey | 22 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 33.3%, RNs 27.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.4% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.6% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: The Orchards Hc Llc. Chain: Continuing Life (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Spieker Clc LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 08/06/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Orange County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Freedom Village Healthcare Center | Lake Forest | 52 | 5 | 3 | 5 | 56 | 107.7 | — | 2 Jun 2026 |
| Greenfield Care Center of Fullerton, LLC | Fullerton | 99 | 5 | 4 | 5 | 30 | 30.3 | — | 2 Apr 2026 |
| La Palma Nursing Center | Anaheim | 72 | 5 | 3 | 5 | 62 | 86.1 | — | 6 Feb 2026 |
| Sun Mar Nursing Center | Anaheim | 69 | 5 | 5 | 3 | 20 | 29.0 | — | 3 Feb 2026 |
| The Grove Post Acute | Garden Grove | 97 | 5 | 4 | 4 | 39 | 40.2 | — | 10 Feb 2026 |
| Town & Country | Santa Ana | 96 | 5 | 3 | 5 | 53 | 55.2 | — | 10 Mar 2026 |
| Victoria Healthcare and Rehabilitation Center | Costa Mesa | 79 | 5 | 5 | 3 | 27 | 34.2 | — | 4 Sep 2025 |
| West Anaheim Medical Center D/P SNF | Anaheim | 28 | 5 | 4 | 5 | 46 | 164.3 | — | 27 Mar 2026 |
All 72 facilities in Orange County
Questions and answers
How many deficiencies has Orchards Skilled Nursing been cited for?
39 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Orchards Skilled Nursing been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Orchards Skilled Nursing compare?
Reported total nurse staffing is 5.4 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Orchards Skilled Nursing?
It is part of the Continuing Life chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Spieker Clc LLC. Individual owners and managers are not listed on this site.
When was Orchards Skilled Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 17 Apr 2025; the most recent standard health survey was 17 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.