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Nursing Homes · Medicare certified

Orchards Skilled Nursing

1 Amistad Drive · Rancho Mission Viejo, CA 92694 · 49 certified beds

(949) 443-8900

NPI 1689272528 (opens in a new tab)

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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 4, 2024

    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 April 26, 2024.

  • April 4, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

  • April 4, 2024

    Tag F0657

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 26, 2024.

  • April 4, 2024

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

  • April 4, 2024

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 26, 2024.

  • April 4, 2024

    Tag F0580

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

  • April 4, 2024

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

  • August 3, 2023

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    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 August 22, 2023.

  • August 3, 2023

    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 August 22, 2023.

  • August 3, 2023

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    Tag F0908

    Keep all essential equipment working safely.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    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 August 22, 2023.

  • August 3, 2023

    Tag F0814

    Dispose of garbage and refuse properly.

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    Tag 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 l….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2023.

  • August 3, 2023

    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 August 22, 2023.

  • August 3, 2023

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2023.

See the source data on data.cms.gov (opens in a new tab)

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

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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