Nursing Homes · Medicare certified
Orchards Skilled Nursing
1 Amistad Drive · Rancho Mission Viejo, CA 92694 · 49 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
27
Inspection history (39)
April 17, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · B
Citation F0583Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0583 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · D
Citation F0755Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · B
Citation F0842Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0842 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · D
Citation F0578Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · D
Citation F0838Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0838 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · D
Citation F0849Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 17, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-04-17 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-17.GOVApril 4, 2024 · D
Citation F0692Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0806Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · B
Citation F0814Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0814 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0803Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0842Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0755Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0813Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0813 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a policy regarding use and storage of foods brought to residents by family and other visitors. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0554Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOV
Penalties
Total fines on file: $0
Staffing
Latest: 5.74 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q45.74 hrs/resident/day
- 2026-06-015.74 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Limited Liability company
CMS Care Compare chain: Continuing Life
Chain ID 160 · 6 facilities in chain (CMS)
- Chain average overall rating: 4.8
- Chain average health inspection rating: 4.2
- Chain average staffing rating: 4.8
- Chain average quality measure rating: 4.5
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Spieker Clc LLC
parent · PAC 7719050293
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical CA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · CA$11,060/moNursing Homes
Median · CA$12,167/moNearby alternatives
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