Orchards Skilled Nursing
1 AMISTAD DRIVE, Rancho Mission Viejo, CA, 92694
Yes. Federal inspectors cited 10 deficiencies against Orchards Skilled Nursing in Rancho Mission Viejo, California at its most recent standard inspection on 2025-04-17. Medicare rates it 5 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0838 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0849 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-04-17 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-04-17 · standard survey · No actual harm, potential for minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-04-17 · standard survey · No actual harm, potential for minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0801 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Orchards Skilled Nursing
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SPIEKER CLC LLC | Organization | NO PERCENTAGE PROVIDED | since 08/06/2016 |
| BOURNE, TROY | Individual | NO PERCENTAGE PROVIDED | since 08/06/2016 |
| CURRIE, RYAN | Individual | NO PERCENTAGE PROVIDED | since 08/10/2016 |
| SPIEKER, MEGHAN | Individual | NO PERCENTAGE PROVIDED | since 08/10/2016 |
| SPIEKER, WARREN | Individual | NO PERCENTAGE PROVIDED | since 08/10/2016 |
| SPIEKER 1991 TRUST | Organization | 71% | since 08/10/2016 |
| CURRIE, RYAN | Individual | NOT APPLICABLE | since 10/16/2020 |
Part of the CONTINUING LIFE group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555922.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction