The Orchards Health Center
The Orchards Health Center is a Nursing Home in California
The Orchards Health Center is a Nursing Home in California
The Orchards Health Center
The Orchards Health Center is a Nursing Home in California
The Orchards Health Center is a Nursing Home in California
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.
Home Information
ORCHARDS SKILLED NURSING
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Occupancy trails most facilities in the state, suggesting excess open capacity. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue sits below most peers, indicating modest billing throughput. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income trails most communities, suggesting tighter operating margins.
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Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights lead the state, showing strong demand from market-rate residents.
OccupancyBeds
49
Occupancy
76.1%
Total Bed Days Available
46355
Avg. Length of Stay
28 days
Avg. Residents per Day
39
FinanceHome Revenue
$10,333,953.00
Payroll Costs
$5,516,521.00
Profit
$-5,210,483.00
Total Home Costs
$15,353,297.00
Payroll % of Revenue
Percentage of home revenue spent on payroll costs.
Percentage of home revenue spent on payroll costs.
53.4%
House Specifics:CCN
555922
Owner Name
SPIEKER, MEGHAN
Rural vs. Urban
Urban
County
Orange
Type of Control
Proprietary — Individual
OperationsTotal Admissions
283
Total Discharges
286
% Medicare Admissions
86%
% Private Pay Admissions
14%
% Medicare Discharges
78%
% Private Pay Discharges
22%
Quality Ratings
Overall Rating
CMS 5-star rating based on health inspections, staffing, and quality measures.
CMS 5-star rating based on health inspections, staffing, and quality measures.
5 / 5
Health Inspection Rating
Rating based on deficiencies found during state health inspections.
Rating based on deficiencies found during state health inspections.
4 / 5
Staffing Rating
Rating based on nurse staffing hours per resident per day.
Rating based on nurse staffing hours per resident per day.
5 / 5
QM Rating
Quality Measures rating based on clinical outcomes for residents.
Quality Measures rating based on clinical outcomes for residents.
4 / 5
Nurse Hours / Resident / Day
Total nurse staffing hours per resident per day.
Total nurse staffing hours per resident per day.
5.21 hrs
Medicaid, Medicare & Private
Medicare Nights
Number of resident nights paid by Medicare for short-term or rehab care.
Number of resident nights paid by Medicare for short-term or rehab care.
5253
Medicaid Nights
Resident nights covered by Medicaid for long-term care or support services.
Resident nights covered by Medicaid for long-term care or support services.
5253
Free Market Nights
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
8572
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Additional community details
CMS Certification Number:
555922
Centers for Medicare & Medicaid Services (CMS) Certification Number.
Centers for Medicare & Medicaid Services (CMS) Certification Number.
Places of interest near The Orchards Health Center
5.4 miles from city center
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 |
Comparison Chart
Compare Memory Care around Mission Viejo
The Orchards Health Center
AL
For seniors needing help with daily tasks but not full-time nursing.
Mission Viejo
49
No
-
6
SPIEKER, MEGHAN
76.1%
$10,333,953.00
$5,516,521.00
53.4%
39.20
5/5
5.2093
4/5
5/5
4/5
-
Anaheim Healthcare Center
AL
For seniors needing help with daily tasks but not full-time nursing.
Anaheim
250
No
-
69
ANAHEIM HEALTHCARE CENTER LLC
86.6%
$47,858,983.00
$15,461,015.00
32.3%
215.50
2/5
4.2877
2/5
4/5
4/5
-
Comfort Keepers Home Care – Orange County
AL
For seniors needing help with daily tasks but not full-time nursing.
Orange
-
No
-
45
-
-
-
-
-
-
-
-
-
-
-
-
Mission Palms Healthcare Center
AL
For seniors needing help with daily tasks but not full-time nursing.
Westminster
99
No
A+
63
-
92.6%
$14,857,541.00
$7,070,904.00
47.6%
93.20
4/5
3.6073
3/5
3/5
5/5
1
Villa Valencia Healthcare Center
AL
For seniors needing help with daily tasks but not full-time nursing.
Laguna Hills
59
No
-
62
ALHV LLC
91.5%
$12,769,496.00
$5,394,970.00
42.2%
51.60
4/5
3.2146
4/5
3/5
4/5
-
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for California Seniors
Program
State Program Name
Eligibility
Benefits
Multipurpose Senior Services Program
MSSP (Medi-Cal Waiver)
- General: Age 65+, California resident, Medi-Cal eligible, nursing home risk.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- CA Specifics: County-managed; waitlists possible.
- Services: In-home support (4-6 hours/day), respite care (14 days/year), meals (~$6/meal), transportation (8 trips/month), care management.
In-Home Supportive Services (IHSS)
California IHSS
Official government program page
- General: Age 65+, California resident, Medicaid-eligible or low-income.
- Income Limits: ~$1,732/month (individual, Medi-Cal threshold).
- Asset Limits: $2,000 (individual).
- CA Specifics: Can hire family as caregivers.
- Services: Personal care (up to 283 hours/month), homemaker services, respite (varies).
Multipurpose Senior Services Program (MSSP)
CA MSSP
Official government program page
- General: Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
- Income Limits: ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual).
- CA Specifics: Available in 38 counties; waitlists common.
- Services: Case management, respite care (up to 10 days/year), minor home mods (avg. $500), adult day care (~$50/day).
Property Tax Postponement Program (PTP)
- General: Age 62+, California resident, own and live in home, 40% equity.
- Income Limits (2025): ~$51,500/year (household, adjusted annually).
- Asset Limits: Equity-based; no strict asset cap.
- CA Specifics: Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.
- Services: Property tax deferral (avg. $1,000-$3,000/year, varies by county).
Assisted Living Waiver (ALW)
CA ALW
- General: Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.
- Income Limits: ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual).
- CA Specifics: Available in 15 counties (e.g., LA, Sacramento); waitlists common.
- Services: Personal care in ALFs (5-7 hours/day), medication management, social services.
California CARES Program
CA CARES
- General: Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
- Income Limits: No strict limit; cost-sharing above ~$2,500/month threshold.
- Asset Limits: Not applicable; need-based.
- CA Specifics: High demand in urban areas; complements IHSS respite.
- Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplies (~$200/year).
Low-Income Home Energy Assistance Program (LIHEAP)
CA LIHEAP
Official government program page
- General: Age 60+ priority, California resident, low-income, utility/heating need.
- Income Limits (2025): ~$2,510/month (200% of poverty level, individual).
- Asset Limits: Not applicable; income-focused.
- CA Specifics: High demand in inland/coastal extremes; weatherization capped at $5,000/home.
- Services: Utility payments (avg. $500-$1,000/year), weatherization (e.g., insulation, avg. $1,000-$3,000 savings).
Claim What’s Yours Financial Aid for California Seniors
MSSP (Medi-Cal Waiver)
Multipurpose Senior Services Program
Requirements:
- General:Age 65+, California resident, Medi-Cal eligible, nursing home risk.
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- CA Specifics:County-managed; waitlists possible.
Benefits without Contact:
- Services: In-home support (4-6 hours/day), respite care (14 days/year), meals (~$6/meal), transportation (8 trips/month), care management.
California IHSS
In-Home Supportive Services (IHSS)
Requirements:
- General:Age 65+, California resident, Medicaid-eligible or low-income.
- Income Limits:~$1,732/month (individual, Medi-Cal threshold).
- Asset Limits:$2,000 (individual).
- CA Specifics:Can hire family as caregivers.
Benefits without Contact:
- Services: Personal care (up to 283 hours/month), homemaker services, respite (varies).
CA MSSP
Multipurpose Senior Services Program (MSSP)
Requirements:
- General:Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
- Income Limits:~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual).
- CA Specifics:Available in 38 counties; waitlists common.
Benefits without Contact:
- Services: Case management, respite care (up to 10 days/year), minor home mods (avg. $500), adult day care (~$50/day).
CA PTP
Property Tax Postponement Program (PTP)
Requirements:
- General:Age 62+, California resident, own and live in home, 40% equity.
- Income Limits (2025):~$51,500/year (household, adjusted annually).
- Asset Limits:Equity-based; no strict asset cap.
- CA Specifics:Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.
Benefits without Contact:
- Services: Property tax deferral (avg. $1,000-$3,000/year, varies by county).
CA ALW
Assisted Living Waiver (ALW)
Requirements:
- General:Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.
- Income Limits:~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual).
- CA Specifics:Available in 15 counties (e.g., LA, Sacramento); waitlists common.
Benefits without Contact:
- Services: Personal care in ALFs (5-7 hours/day), medication management, social services.
CA CARES
California CARES Program
Requirements:
- General:Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
- Income Limits:No strict limit; cost-sharing above ~$2,500/month threshold.
- Asset Limits:Not applicable; need-based.
- CA Specifics:High demand in urban areas; complements IHSS respite.
Benefits without Contact:
- Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplies (~$200/year).
CA LIHEAP
Low-Income Home Energy Assistance Program (LIHEAP)
Requirements:
- General:Age 60+ priority, California resident, low-income, utility/heating need.
- Income Limits (2025):~$2,510/month (200% of poverty level, individual).
- Asset Limits:Not applicable; income-focused.
- CA Specifics:High demand in inland/coastal extremes; weatherization capped at $5,000/home.
Benefits without Contact:
- Services: Utility payments (avg. $500-$1,000/year), weatherization (e.g., insulation, avg. $1,000-$3,000 savings).
Contact Us
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