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 Health Center
Nursing Home
The Orchards Health Center
Nursing Home
Nestled in Rancho Mission Viejo, California, The Orchards Health Center is an assisted living community thoughtfully woven together with an unwavering commitment to the highest level of care, boundless compassion, and all the comforts of home. They offer round-the-clock skilled nursing care within a beautiful, nurturing setting. The focus at The Orchards is rooted in understanding who their residents are and what they can achieve.
At The Orchards Health Center, their services cater to individuals whose needs go beyond standard assisted care, encompassing those recovering from orthopedic surgeries or injuries, cardiac procedures/diseases, strokes, pulmonary conditions, and other illnesses. The devoted and memory care-trained staff firmly believes in empowering residents’ lives through life-enriching programs, fostering social engagement, and establishing personalized goals. In their view, healthcare extends beyond mental and physical well-being; it’s intricately woven with quality of life.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
90
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72%
Residents per day (avg)
39
Occupancy rate
72%
Residents per day (avg)
39
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
Proprietary home
Corporation
Home revenue
$15.8M
Operating loss
-$2.8M
Proprietary home
Corporation
Home revenue
$15,804,993.00
Operating loss
$-2,800,633.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
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.
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy Rate
57%
Occupied Beds
51 of 90
Percentage of available beds currently in use by residents.
Additional licensing details
County:
ORANGE
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.
5 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.
2 complaint investigations
Investigations can have many visits.
4 official inspections
1 total citation
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
0 serious citations
A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.
1 moderate citation
A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.
Compare Memory Care around Mission Viejo
The information below is reported by the California Department of Social Services and Department of Public Health.
The Orchards Health Center
-23%
+23%
-33%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Mission Viejo
127
No
-
6
SPIEKER, MEGHAN
56.7%
$15,648,153.00
$6,956,402.00
44.5%
39.20
5.2093
-
39
-
-23%+23%-33%
Villa Valencia Healthcare Center
+37%
-24%
-2%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Laguna Hills
59
No
-
62
ALHV LLC
83.3%
$16,336,966.00
$6,058,503.00
37.1%
51.60
3.2146
-
41
-
+37%-24%-2%
Mission Palms Healthcare Center
-37%
-15%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Westminster
99
No
A+
63
-
89.6%
$15,948,584.00
$7,652,029.00
48%
93.20
3.6073
1
39
1
-37%-15%+6%
Anaheim Healthcare Center
-31%
+2%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Anaheim (Southwest Anaheim)
250
No
-
69
ANAHEIM HEALTHCARE CENTER LLC
86.2%
$67,489,907.00
$18,513,172.00
27.4%
215.50
4.2877
-
110
1
-31%+2%+2%
The Orchards Health Center
Type of care:
SNF
AL
Community:
Mission Viejo
Bed Count:
127
Pets Allowed:
No
Operator:
SPIEKER, MEGHAN
CCN:
555922
Occupancy:
56.7%
Home Revenue:
$15,648,153.00
Payroll Costs:
$6,956,402.00
Payroll %:
44.5%
Avg Residents/Day:
39.20
Overall Rating:
Adj Nurse Hours:
5.2093
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
39
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
+23%
+23%
Occupancy vs State Avg:
-33%
-33%
Villa Valencia Healthcare Center
Type of care:
AL
SNF
Community:
Laguna Hills
Bed Count:
59
Pets Allowed:
No
Operator:
ALHV LLC
CCN:
555462
Occupancy:
83.3%
Home Revenue:
$16,336,966.00
Payroll Costs:
$6,058,503.00
Payroll %:
37.1%
Avg Residents/Day:
51.60
Overall Rating:
Adj Nurse Hours:
3.2146
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
41
RN share vs State Avg:
+37%
+37%
Staffing vs State Avg:
-24%
-24%
Occupancy vs State Avg:
-2%
-2%
Mission Palms Healthcare Center
Type of care:
SNF
AL
Community:
Westminster
Bed Count:
99
Pets Allowed:
No
CCN:
56271
Occupancy:
89.6%
Home Revenue:
$15,948,584.00
Payroll Costs:
$7,652,029.00
Payroll %:
48%
Avg Residents/Day:
93.20
Overall Rating:
Adj Nurse Hours:
3.6073
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
39
Severe Citations:
1
RN share vs State Avg:
-37%
-37%
Staffing vs State Avg:
-15%
-15%
Occupancy vs State Avg:
+6%
+6%
Anaheim Healthcare Center
Type of care:
SNF
AL
Community:
Anaheim (Southwest Anaheim)
Bed Count:
250
Pets Allowed:
No
Operator:
ANAHEIM HEALTHCARE CENTER LLC
CCN:
55984
Occupancy:
86.2%
Home Revenue:
$67,489,907.00
Payroll Costs:
$18,513,172.00
Payroll %:
27.4%
Avg Residents/Day:
215.50
Overall Rating:
Adj Nurse Hours:
4.2877
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
110
Severe Citations:
1
RN share vs State Avg:
-31%
-31%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+2%
+2%Places of interest near The Orchards Health Center
5.4 miles from city center — 3.37 miles to nearest hospital (Providence Mission Hospital Mission Viejo)
1 Amistad Dr, Mission Viejo, CA 92694
Calculate Travel Distance to The Orchards Health Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
122
Total Staff
63
Employees
59
Contractors
28,294
Total Hours (Quarter)
43
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 7.5 | No |
| Licensed Practical Nurse | 34 | 7.6 | Yes |
| Certified Nursing Assistant | 35 | 7.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
6.8hs shift avg
Nursing Staff ⓘ
79 staff
7.4hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.3hs shift avg
Therapy Services ⓘ
24 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
5 staff
6.2hs shift avg
Dietary Services ⓘ
6 staff
7.8hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
Contractor Analysis
18.8%
of total hours from contractors
5,308 contractor hours this quarter
Licensed Practical Nurse: 20
Respiratory Therapy Technician: 6
Certified Nursing Assistant: 9
Physical Therapy Aide: 6
Physical Therapy Assistant: 4
Qualified Social Worker: 5
Speech Language Pathologist: 6
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
39
Citations per inspection
13
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
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
Apr 17, 2025
Corrected
Administration moderate citation
Apr 17, 2025
Corrected
Infection Control moderate citation
Apr 17, 2025
Corrected
Nutrition moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
40
Total Residents
Medicare
26
(65%)
ⓘ
Private Pay/Other
14
(35%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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 Health Center based on CMS SNF Cost Reports.
Occupancy Rate
72.0%
↑ 42.1pp vs 2022
Net Income
-$2,800,633
↑ ~$2.4M vs 2022
Total Payroll
$9,380,771
↑ ~$2.4M vs 2022
Profit Margin
-17.9%
↑ 32.5pp vs 2022
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