About Orchards Skilled Nursing

Orchards Skilled Nursing is a nursing home in Rancho Mission Viejo, California. Its capacity is 49 beds, below the Orange County median of 99 for nursing homes. It is run by a for-profit operator and is part of Continuing Life. It is Medicare certified. Its public inspection record shows 39 citations, the most recent on April 17, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 5.29 hours per resident per day. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

5.0

Staffing

5.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (39)

Records from August 2023 to April 2025.

April 17, 2025
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag F0583
Keep residents' personal and medical records private and confidential.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag F0695
Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 17, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 4, 2024
Tag F0692
Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0814
Dispose of garbage and refuse properly.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0658
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.
April 4, 2024
Tag F0554
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

See the source data on data.cms.gov

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

5.29 nurse hours per resident per day in Q2 2026, down from 5.74 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Continuing Life, a chain of 6 nursing homes.

Average CMS star ratings across the chain: 5.0 overall, 4.5 for health inspections, 5.0 for staffing, 4.8 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in California.

Nursing Homes

California median$12,167/mo

California cost breakdown

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