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Orchards Skilled Nursing, Rancho Mission Viejo, CA: 5 star rating, no fines

Orchards Skilled Nursing in Rancho Mission Viejo, CA is owned by Spieker CLC LLC, is rated 5 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 30 health citations from inspections in that time, the latest survey on July 16, 2026, and none of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
1 Amistad Drive, Rancho Mission Viejo, CA 92694
Overall rating
5 of 5 stars
Health inspection rating
5 of 5
Staffing rating
5 of 5
Quality measure rating
5 of 5
Certified beds
49
Residents per day
46 on average
Ownership type
For profit, limited liability company
Legal business name
The Orchards HC LLC
Chain
Continuing Life, 6 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
30, of which 0 with actual harm or immediate jeopardy
Latest survey
July 16, 2026
CMS Certification Number
555922
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 16, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 27, 2026data.cms.gov
July 16, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 27, 2026data.cms.gov
July 16, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 27, 2026data.cms.gov
April 17, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F849Arrange 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B: pattern, minimal harm potentialCorrectedMay 9, 2025data.cms.gov
April 17, 2025F838Conduct 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 17, 2025F583Keep residents' personal and medical records private and confidential.B: pattern, minimal harm potentialCorrectedMay 9, 2025data.cms.gov
April 17, 2025F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 4, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F814Dispose of garbage and refuse properly.B: pattern, minimal harm potentialCorrectedApril 26, 2024data.cms.gov
April 4, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F803Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F801Employ 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.B: pattern, minimal harm potentialCorrectedApril 26, 2024data.cms.gov
April 4, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.B: pattern, minimal harm potentialCorrectedApril 26, 2024data.cms.gov
April 4, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 4, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (4 owners, 1 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Spieker CLC LLCDirect ownerNot listedAugust 6, 2016data.cms.gov
Spieker 1991 TrustIndirect owner71%August 10, 2016data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.