ORCHARDS SKILLED NURSING
ORCHARDS SKILLED NURSING, in RANCHO MISSION VIEJO, California, holds 49 certified beds and has been certified for Medicare and Medicaid since 2021-06-13, averaging 45.4 residents a day.
Has ORCHARDS SKILLED NURSING been cited for violations?
CMS lists 39 health-inspection deficiencies for ORCHARDS SKILLED NURSING, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-04-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-04-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-04-17 | F0578, F0684, F0695, F0755, F0838, F0849, F0880 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-04-17 | F0583, F0842 | Keep residents' personal and medical records private and confidential. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2024-04-04 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-04-04 | F0554, F0580, F0658, F0692, F0695, F0755, F0761, F0801, F0803, F0806, F0813, F0842, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-04-04 | F0656, F0657, F0814 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Dispose of garbage and refuse properly. | B |
| 2023-08-03 | F0812, F0908 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | E |
| 2023-08-03 | F0578, F0656, F0684, F0700, F0758, F0761, F0842, F0909 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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 |
| 2023-08-03 | F0755, F0814 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Dispose of garbage and refuse properly. | B |
How is ORCHARDS SKILLED NURSING staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.35462 | 4.51570 |
| Total nursing staff turnover (%) | 33.3 | 36.7 |
| Average number of residents per day | 45.4 | 87.9 |
Who owns ORCHARDS SKILLED NURSING, and what chain is it in?
ORCHARDS SKILLED NURSING is registered with CMS as For profit - Limited Liability company, operates under the legal business name THE ORCHARDS HC LLC and belongs to the CONTINUING LIFE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SPIEKER CLC LLC, BOURNE, TROY, CURRIE, RYAN, SPIEKER, MEGHAN, SPIEKER, WARREN | since 08/06/2016 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | SPIEKER 1991 TRUST | since 08/10/2016 |
| OPERATIONAL/MANAGERIAL CONTROL | CURRIE, RYAN | since 10/16/2020 |
Were you or a family member harmed at ORCHARDS SKILLED NURSING?