Orchards Skilled Nursing

Name: Orchards Skilled Nursing
Address: 1 AMISTAD DRIVE, Rancho Mission Viejo, CA, 92694, US
Telephone: 9494438900

1 Amistad Drive, Rancho Mission Viejo, CA 92694 · Orange County · 49 certified beds · avg 45 residents/day · certified since Jun 13, 2021

Part of chain: CONTINUING LIFE (6 facilities, chain avg rating 4.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.88

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 17, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 17, 2025	B · Minimal risk, repeated	The facility did not keep residents' personal and medical information private and confidential.
Apr 17, 2025	B · Minimal risk, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 4, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 4, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Apr 4, 2024	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 4, 2024	B · Minimal risk, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Apr 4, 2024	B · Minimal risk, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 4, 2024	B · Minimal risk, repeated	The facility did not dispose of garbage and refuse properly.
Aug 3, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 3, 2023	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 3, 2023	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Aug 3, 2023	B · Minimal risk, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 3, 2023	B · Minimal risk, repeated	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 10).

Year	Citations	Worst severity that year
2023	12	E
2024	17	F
2025	10	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.88	4.31	3.95	top 17% in California; top 15% in the U.S.
Registered Nurse hours	0.85	0.61	0.69	top 15% in California; top 24% in the U.S.
Weekend total nurse staffing	4.33	3.90	3.50	top 19% in California; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.51	0.48	top 25% in California; top 27% in the U.S.
Total nursing staff turnover (%)	33.3	36.7	45.8	top 40% in California; top 20% in the U.S.
RN turnover (%)	27.3	38.1	42.9	top 31% in California; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.35, RN 0.93, weekend 4.75. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bourne, Troy	Individual	5% or Greater Direct Ownership Interest	—	08/06/2016
Currie, Ryan	Individual	5% or Greater Direct Ownership Interest	—	08/10/2016
Spieker 1991 Trust	Organization	5% or Greater Indirect Ownership Interest	71%	08/10/2016
Spieker CLC LLC	Organization	5% or Greater Direct Ownership Interest	—	08/06/2016
Spieker, Meghan	Individual	5% or Greater Direct Ownership Interest	—	08/10/2016
Spieker, Warren	Individual	5% or Greater Direct Ownership Interest	—	08/10/2016
Currie, Ryan	Individual	Operational/Managerial Control	NOT APPLICABLE	10/16/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
San Juan Hills Healthcare Center	3.8 mi	San Juan Capistrano, CA	★★★★☆	3/5
Palm Terrace Healthcare & Rehabilitation Center	3.9 mi	Laguna Hills, CA	★★★☆☆	2/5
Villa Valencia Healthcare Center	4.2 mi	Laguna Hills, CA	★★★★☆	4/5
Laguna Hills Health and Rehabilitation Center	4.3 mi	Laguna Hills, CA	★☆☆☆☆	1/5
Freedom Village Healthcare Center	5.0 mi	Lake Forest, CA	★★★★★	3/5
Trabuco Hills Post Acute	6.3 mi	Lake Forest, CA	★★☆☆☆	1/5
Capistrano Beach Care Center	7.4 mi	Dana Point, CA	★☆☆☆☆	2/5
Regents Point - Windcrest	11.4 mi	Irvine, CA	★★★★☆	3/5
Newport Subacute Healthcare Center	15.1 mi	Costa Mesa, CA	★☆☆☆☆	1/5
Foothill Regional Medical Center D/P SNF	15.2 mi	Tustin, CA	★★★★☆	4/5
Victoria Healthcare and Rehabilitation Center	15.4 mi	Costa Mesa, CA	★★★★★	5/5
Crystal Cove Care Center	15.8 mi	Newport Beach, CA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Rancho Mission Viejo →

Facility data as of CMS processing date 2026-08-01. CCN 555922.

The Care File

Visit checklist — Orchards Skilled Nursing

1 Amistad Drive, Rancho Mission Viejo, CA 92694 · 9494438900

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555922 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)