Nursing HomeInspections

Orchards Skilled Nursing

Nursing home in Rancho Mission Viejo, CA

Medicare-certified5★ overall (CMS)

Call (949) 443-8900Send a messageMap ↗

Public-record details

Address
1 Amistad Drive, Rancho Mission Viejo, CA 92694
Phone
(949) 443-8900
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years, Part of a retirement community
Medicare CCN
555922
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
49
Average residents per day
45
Ownership
For-profit, limited Liability company
Legal business name
The Orchards Hc LLC
Chain
Continuing Life (6 facilities)
Certified for
Medicare
First approved by Medicare/Medicaid
Jun 13, 2021
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555922. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 17, 2025. CMS lists 39 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 3, 2023 to Apr 17, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 17, 2025Keep residents' personal and medical records private and confidential.
Resident Rights		B
Potential for minimal harm, pattern
Apr 17, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Apr 17, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 17, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 17, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 17, 2025Conduct 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…
Administration		D
Potential for more than minimal harm, isolated
Apr 17, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Apr 17, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 17, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 4, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		B
Potential for minimal harm, pattern
Apr 4, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern

Showing the 12 most recent of 39. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.35 hours
Registered nurse (RN) time per resident per day
0.93 hours
Nurse aide time per resident per day
2.84 hours
Total nurse staffing on weekends
4.75 hours
Nursing staff turnover (yearly)
33%
RN turnover (yearly)
27%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.