Nursing homes › California › Orchards Skilled Nursing
1 Amistad Drive, Rancho Mission Viejo, CA 92694 · 9494438900 · 49 certified beds
Per CMS filings, this facility is affiliated with Continuing Life, a group operating 6 facilities in 1 states. Group record: average rating 4.8/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $50,827 in federal fines. This facility rates above its group average (4.8/5).
Total nurse staffing: 5.35 (California median: 4.24). RN hours: 0.93. Weekend total: 4.75. Nursing staff turnover: 33%.
All-time on record: 39 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | 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. | D | Health | corrected 2025-05-09 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-05-09 |
| 2025-04-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-05-09 |
| 2025-04-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-09 |
| 2025-04-17 | Keep residents' personal and medical records private and confidential. | B | Health | 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. | B | Health | 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. | F | Health | corrected 2024-04-26 |
| 2024-04-04 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | 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. | D | Health | corrected 2024-04-26 |
| 2024-04-04 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-04-26 |
| 2024-04-04 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-04-26 |
| 2024-04-04 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-04-26 |
| 2024-04-04 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | 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. | D | Health | corrected 2024-04-26 |
| 2024-04-04 | Provide and implement an infection prevention and control program. | D | Health | 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. | B | complaint | 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. | B | Health | corrected 2024-04-26 |
| 2024-04-04 | Dispose of garbage and refuse properly. | B | Health | 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. | E | Health | corrected 2023-08-22 |
| 2023-08-03 | Keep all essential equipment working safely. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2023-08-22 |
| 2023-08-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | B | Health | corrected 2023-08-22 |
| 2023-08-03 | Dispose of garbage and refuse properly. | B | Health | corrected 2023-08-22 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SPIEKER CLC LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/06/2016 |
| BOURNE, TROY | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/06/2016 |
| CURRIE, RYAN | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/10/2016 |
| SPIEKER, MEGHAN | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/10/2016 |
| SPIEKER, WARREN | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/10/2016 |
| SPIEKER 1991 TRUST | 5% Or Greater Indirect Ownership Interest | Organization | 71% | since 08/10/2016 |
| CURRIE, RYAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/16/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555922. Corrections: data@carerecords.org.