Orchards Skilled Nursing
Nursing Home · Rancho Mission Viejo, CA
CMS certification number555922
Contact & location
1 Amistad DriveRancho Mission Viejo, CA 92694
Orange County
- Phone
- (949) 443-8900
- ZIP code
- 92694 – all care providers
Facility details
- Certified beds
- 49
- Residents per day
- 45.4 (93% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- The Orchards HC LLC
- Chain
- Continuing Life (6 facilities, avg 4.8★)
- Medicare certified since
- June 13, 2021
- Participates in
- Medicare
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 5.35 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 0.93 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 1.58 (state 1.20 · U.S. 0.86)
- Nurse aides
- 2.84 (state 2.65 · U.S. 2.32)
- Weekend total
- 4.75 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 33.3 (state 36.7 · U.S. 45.8)%
- RN turnover
- 27.3 (state 38.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- April 17, 2025
- Health deficiencies (last cycle)
- 10.0 (state 15.7 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 39 health · 5 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | 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. F0838 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-05-09 |
| 2025-04-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-05-09 |
| 2024-04-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | 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. F0801 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
B No actual harm, potential for minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-04-26 |
| 2024-04-04 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-04-26 |
| 2023-08-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | 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. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | 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 limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | 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. F0909 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2023-08-22 |
| 2023-08-03 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2023-08-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bourne, Troy (individual) | 5%+ Direct Ownership Interest | |
| Currie, Ryan (individual) | 5%+ Direct Ownership Interest | |
| Spieker CLC LLC (organization) | 5%+ Direct Ownership Interest | |
| Spieker, Meghan (individual) | 5%+ Direct Ownership Interest | |
| Spieker, Warren (individual) | 5%+ Direct Ownership Interest | |
| Spieker 1991 Trust (organization) | 5%+ Indirect Ownership Interest · 71% | |
| Currie, Ryan (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Orchards Skilled Nursing?
Orchards Skilled Nursing has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.
How many beds does Orchards Skilled Nursing have?
It has 49 certified beds and cares for about 45 residents per day.
Has Orchards Skilled Nursing been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Orchards Skilled Nursing?
It is part of Continuing Life and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Orchards Skilled Nursing?
(949) 443-8900. The facility is located at 1 Amistad Drive, Rancho Mission Viejo, CA 92694.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.