Show Inspection Reports
Total health inspections
3
California average 12.5
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Orchards Assisted Living
Nursing Home in California
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Orchards Assisted Living
Nursing Home in California
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Orchards Assisted Living is located in Medford, Oregon. It offers compassionate assisted living services with a focus on dignity, independence, and individuality. The community features studio and one-bedroom apartments, along with various activities and amenities to enhance residents' quality of life.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 32nd out of 294 homes in California.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 32nd out of 294 homes in California.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 13m per day
Rank #32 / 294Nurse hours — state benchmarkedThis home is ranked 32nd out of 294 homes in California.Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 294 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs California avg
+19%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 2m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
72%
Rank #249 / 301Occupancy rate — state benchmarkedThis home is ranked 249th out of 301 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 301. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
29 days
Occupancy rate
72%
Rank #249 / 301Occupancy rate — state benchmarkedThis home is ranked 249th out of 301 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 301. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
29 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
81% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
19% of new residents, often for short stays.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.8M
Operating loss
-$2.8M
Privately-owned community
Operated by a business corporation.
Home revenue
$15.8M Rank #135 / 299Revenue — state benchmarkedThis home is ranked 135th out of 299 homes in California.Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$2.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #142 / 299Payroll — state benchmarkedThis home is ranked 142nd out of 299 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$7.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #142 / 299Payroll — state benchmarkedThis home is ranked 142nd out of 299 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.6M
90-bed community
A larger shared setting that may offer more common spaces and organized community services.
5 years in operation
An established community with some operational experience and growing routines.
About this community
Facility TypeResidential Care Elderly
StatusLicensed
IssuanceNovember 24, 2020
CountyOrange
CMS Certification Number555922
Awards2024 AHCA/NCAL Bronze National Quality Award
The Orchards Assisted Living is administrated by Conk, Kelly.
Owner NameORCHARDS HC LLC, THE
24-Hour Staffing
Meals
Housekeeping
Activities Program
Personal Hygiene Assistance
Nursing Involvement
Specific ProgramsLiving Options, Our Community, Services and Amenities, Community News, Helpful Articles, Family Resources, Photos, Contact, Career Opportunities
Food DescriptionMeals are served in the beautiful dining room located on the main floor of the assisted living building. Our menus feature home-style food, fresh salads, desserts, and choice of entree.
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
9 visits
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
California average: 16 visits
Breakdown by visit type
2 total complaint visits
3 other visits
Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.
California average
13 total complaint visits
7 other visits
2 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
California average: 14 complaints
4 official inspections
Routine inspections conducted by state regulators to evaluate whether the facility meets federal and state care and safety standards.
California average: 4 official inspections
0 total citations Rank #157 / 298Health citations — state benchmarkedThis home is ranked 157th out of 298 homes in California.Shows this facility's total health deficiency citations benchmarked to the California state average, with a ranking across all 298 CA SNFs. Lower citation counts earn a better rank.
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
California average: 10 citations
Health Inspection History
Inspections
Total health citations
39
Rank #157 / 298Health citations — state benchmarkedThis home is ranked 157th out of 298 homes in California.Shows this facility's total health deficiency citations benchmarked to the California state average, with a ranking across all 298 CA SNFs. Lower citation counts earn a better rank.
California average 50.2
Citations per inspection
13
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 39 citations resulted from standard inspections; and 1 of 39 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
0 critical citations
0 serious citations
32 moderate citations
7 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 17, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 17, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 17, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 17, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around California The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| The Orchards Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rancho Mission Viejo (Marguerite Parkway) | 90 | 72.0% | -15% | 5.21 | -23% | +23% | 0 | 39 | 13.0 | 0 | 39 | - | - | Spieker, Meghan | $15.8M | $7.0M | 44% | 555922 | ||||
| A & J Assisted Living | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 53 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| A1 Del Monte Stockton | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 158 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Aaa Kindness Care II | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 32 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Abbey Road Villa | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 78 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Living Spaces & Floor Plans
Studio Floor Plan
1 Bedroom Floor Plan
Financial Assistance for
Nursing Home in California
Get Financial aid guidance
Places of interest near The Orchards Assisted Living
3.3 miles from city center
Estimated distance in miles from RANCHO MISSION VIEJO's city center to The Orchards Assisted Living's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
122
Employees
63
Contractors
59
Staff to resident ratio
3.05:1
3049900% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
43
Average shift
7.2 hours
6% worse than California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
28,294
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
18.8%
5,308 contractor hours this quarter
Licensed Practical Nurse: 20
Certified Nursing Assistant: 9
Respiratory Therapy Technician: 6
Physical Therapy Aide: 6
Speech Language Pathologist: 6
Qualified Social Worker: 5
Physical Therapy Assistant: 4
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 26 | 9 | 35 | 10,434 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 14 | 20 | 34 | 6,402 | 91 | 100% | 7.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,365 | 91 | 100% | 7.8 |
| Registered Nurse | 8 | 0 | 8 | 1,944 | 91 | 100% | 7.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,074 | 79 | 87% | 6.5 |
| Speech Language Pathologist | 0 | 6 | 6 | 878 | 83 | 91% | 6.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 798 | 65 | 71% | 8.4 |
| Physical Therapy Aide | 0 | 6 | 6 | 764 | 72 | 79% | 6.2 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 654 | 84 | 92% | 4.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 61 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Qualified Social Worker | 0 | 5 | 5 | 406 | 64 | 70% | 6.2 |
| Dietitian | 1 | 0 | 1 | 280 | 35 | 38% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 180 | 23 | 25% | 7.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 168 | 25 | 27% | 6.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 3 | 3% | 9.3 |
| Medical Director | 0 | 1 | 1 | 15 | 13 | 14% | 1.2 |
| Feeding Assistant | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
35 Certified Nursing Assistant
% of Days
100%
34 Licensed Practical Nurse
% of Days
100%
5 Other Dietary Services Staff
% of Days
100%
8 Registered Nurse
% of Days
100%
4 Physical Therapy Assistant
% of Days
87%
6 Speech Language Pathologist
% of Days
91%
3 Clinical Nurse Specialist
% of Days
71%
6 Physical Therapy Aide
% of Days
79%
6 Respiratory Therapy Technician
% of Days
92%
1 Administrator
% of Days
70%
1 Mental Health Service Worker
% of Days
67%
1 Nurse Practitioner
% of Days
63%
1 RN Director of Nursing
% of Days
62%
5 Qualified Social Worker
% of Days
70%
1 Dietitian
% of Days
38%
1 Dental Services Staff
% of Days
25%
1 Occupational Therapy Aide
% of Days
27%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
14%
1 Feeding Assistant
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40
Medicare
26
65% of residents
Private pay or other
14
35% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
31% worse than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
29% worse than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
29% worse than California averageCalifornia average: 11.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
33% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
88% worse than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
72% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
16.0%
Percent of long-stay residents who lose too much weight
16.0%
280% worse than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.6%
Percent of long-stay residents who received an antipsychotic medication
15.6%
55% worse than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
In line with California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
53% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
7% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for The Orchards Assisted Living based on CMS SNF Cost Reports.
Occupancy Rate
72.0%
↑ 42.1pp vs 2022
Net Income
-$2.8M
↑ ~$2.4M vs 2022
Total Payroll
$9.4M
↑ ~$2.4M vs 2022
Profit Margin
-17.9%
↑ 32.5pp vs 2022
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