Orchards Skilled Nursing
1 Amistad Drive · Rancho Mission Viejo, CA · 92694 · 9494438900
49 certified beds For profit - Limited Liability company Chain: Continuing Life Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 5.18 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D April 17, 2025
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.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 9, 2025 · Pharmacy Service
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Potential for harm · E April 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · D April 17, 2025
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.
Corrected May 9, 2025 · Administration
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Potential for harm · D April 17, 2025
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.
Corrected May 9, 2025 · Administration
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Potential for harm · D April 17, 2025
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
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No harm found · B April 17, 2025
Keep residents' personal and medical records private and confidential.
Corrected May 9, 2025 · Resident Rights
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No harm found · B April 17, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 26, 2024 · Resident Rights
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Potential for harm · D April 4, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 26, 2024 · Resident Rights
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Potential for harm · D April 4, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D April 4, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D April 4, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 26, 2024 · Pharmacy Service
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Potential for harm · D April 4, 2024
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.
Corrected April 26, 2024 · Pharmacy Service
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Potential for harm · D April 4, 2024
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.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · D April 4, 2024
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.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · D April 4, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · F April 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · D April 4, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · D April 4, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
Provide and implement an infection prevention and control program.
Corrected April 26, 2024 · Infection Control
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No harm found · B April 4, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 26, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555922 · certified since June 13, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.