The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
The Orchards
Registered name: ORCHARDS SKILLED NURSING
RANCHO MISSION VIEJO, CA · Medicare-certified · 49 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
The Orchards in Rancho Mission Viejo, CA has a 5 out of 5 overall rating, with 5-star staffing and quality measures and 4-star health inspections. It reports 5.35 nurse hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.3546 hrs/resident/day
Quality measures
Last inspection: April 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3546.
Staffing detail
- Registered nurses
- 0.93
- Licensed practical nurses
- 1.58
- Nurse aides
- 2.84
- Weekend nursing
- 4.75
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—5.6%—
Residents with a fall causing major injury
—0%—
Residents with pressure ulcers (bedsores)
—1.4%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—14.9%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—2.4%—
Long-stay residents on antianxiety or sleep medication
—2.1%—
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—5.7%—
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
—100%—
Short-stay residents given the seasonal flu vaccine
—99.5%—
Short-stay residents given the pneumonia vaccine
98.9%97.8%Worsening
What the inspectors found
The nursing home failed to keep essential equipment working safely. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CONTINUING LIFE · 6 homes · 4.8 stars avg
- Occupancy
- 45.4 residents on an average day (93% of 49 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 5 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.