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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaOrchards Skilled Nursing

Orchards Skilled Nursing

1 Amistad Drive, Ladera Ranch, CA 926949494438900
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
4/5
Quality
5/5
Beds
49
certified

Key Findings

• CMS rates this facility 5/5 stars (above average)

• Has 49 certified beds with an average of 43.3 residents per day (88% occupancy)

• Last health inspection found 10 deficiencies (inspected Apr 17, 2025)

• No fines on record

• Total nursing staff: 5.65 hours per resident per day

• Staff turnover rate: 35.6%

• Part of the Continuing Life chain (6 facilities)

Orchards Skilled Nursing is a 5-star Medicare and Medicaid certified nursing home in Ladera Ranch, California with 49 certified beds. It has been operating since 2021. The facility scored above average compared to California facilities.

Beds
49
Avg Residents/Day
43.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 13, 2021
Sprinklers
Yes
Council
Resident
County
Orange
Last Inspection
Apr 17, 2025
Deficiencies (Cycle 1)
10
Weighted Score
44.0
Infection Citations
0

Deficiency Citations (39)

F0578Potential for 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.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0583Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0838Potential for 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.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0842Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0849Potential for 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.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0657Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0761Potential for 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.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0801Potential for 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.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0803Potential for 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.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0656Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0578Potential for 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.

Survey: Aug 3, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 3, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 3, 2023Corrected: NoCycle: 3

+ 9 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.94 hrs
National avg: 2.35 hrs
LPN1.82 hrs
National avg: 0.86 hrs
RN0.90 hrs
National avg: 0.68 hrs
Total Nursing5.65 hrs
National avg: 3.89 hrs
Weekend Total4.92 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
35.6%
RN Turnover
37.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
SPIEKER CLC LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AAug 6, 2016
BOURNE, TROY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AAug 6, 2016
CURRIE, RYAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AAug 10, 2016
SPIEKER, MEGHAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AAug 10, 2016
SPIEKER, WARREN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AAug 10, 2016
SPIEKER 1991 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization71%Aug 10, 2016
CURRIE, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2020

Frequently Asked Questions

What is the CMS rating for Orchards Skilled Nursing?▾
Orchards Skilled Nursing has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated above average.
Has Orchards Skilled Nursing had any health inspection violations?▾
Orchards Skilled Nursing had 10 deficiency citations in its most recent health inspection (Apr 17, 2025). The facility has no fines on record.
What are the staffing levels at Orchards Skilled Nursing?▾
Orchards Skilled Nursing provides 5.65 total nursing staff hours per resident per day, including 0.90 RN hours, 1.82 LPN hours, and 2.94 nurse aide hours. The total staff turnover rate is 35.6%.
How many beds does Orchards Skilled Nursing have?▾
Orchards Skilled Nursing has 49 certified beds with an average of 43.3 residents per day, resulting in approximately 88% occupancy. The facility is For profit - Limited Liability company owned and is part of the Continuing Life chain.

Part of Continuing Life

This chain operates 6 facilities. View all →