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 4, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-04-04 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 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 F0880Federal surveyors cited this nursing home on 2024-04-04 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 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 F0657Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0657 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 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 F0801Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0801 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. 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 F0656Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0656 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 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 F0580Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect 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 F0761Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. 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.GOVAugust 3, 2023 · D
Citation F0700Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0761Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-08-03 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 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-08-03 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 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · B
Citation F0755Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0755 (CMS scope/severity B: pattern, no actual harm, potential for 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 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · E
Citation F0908Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0908 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-08-03 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 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · B
Citation F0814Federal surveyors cited this nursing home on 2023-08-03 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 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0758Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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…. The deficiency was recorded as corrected on 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0909Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0909 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0578Federal surveyors cited this nursing home on 2023-08-03 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 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.GOVAugust 3, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-08-03 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-03.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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