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.
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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.
Occupancy
Finance
Percentage of home revenue spent on payroll costs.
House Specifics:
Operations
Quality Ratings
CMS 5-star rating based on health inspections, staffing, and quality measures.
Rating based on deficiencies found during state health inspections.
Rating based on nurse staffing hours per resident per day.
Quality Measures rating based on clinical outcomes for residents.
Total nurse staffing hours per resident per day.
Medicaid, Medicare & Private
Number of resident nights paid by Medicare for short-term or rehab care.
Resident nights covered by Medicaid for long-term care or support services.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Comparison Chart
The information below is reported by the California Department of Social Services and Department of Public Health.For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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Places of interest near The Orchards Health Center
5.4 miles from city center
1 Amistad Dr, Mission Viejo, CA 92694
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
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
Contractor Analysis
| 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
Source: CMS Health Citations (Aug 2023 – Apr 2025)
Citation Severity Distribution
Top Deficiency Categories
Citation Sources
State Comparison (CA)
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Apr 17, 2025 | D | Administration | F0838 | Corrected |
| Apr 17, 2025 | D | Administration | F0849 | Corrected |
| Apr 17, 2025 | D | Infection Control | F0880 | Corrected |
| Apr 17, 2025 | E | Nutrition | F0812 | Corrected |
| Apr 17, 2025 | D | Pharmacy | F0755 | Corrected |
| Apr 17, 2025 | D | Quality of Care | F0684 | Corrected |
| Apr 17, 2025 | D | Quality of Care | F0695 | Corrected |
| Apr 17, 2025 | B | Care Planning | F0842 | Corrected |
| Apr 17, 2025 | D | Resident Rights | F0578 | Corrected |
| Apr 17, 2025 | B | Resident Rights | F0583 | Corrected |
| Apr 04, 2024 | D | Infection Control | F0880 | Corrected |
| Apr 04, 2024 | D | Nutrition | F0801 | Corrected |
| Apr 04, 2024 | D | Nutrition | F0803 | Corrected |
| Apr 04, 2024 | D | Nutrition | F0806 | Corrected |
| Apr 04, 2024 | F | Nutrition | F0812 | Corrected |
| Apr 04, 2024 | D | Nutrition | F0813 | Corrected |
| Apr 04, 2024 | B | Nutrition | F0814 | Corrected |
| Apr 04, 2024 | D | Pharmacy | F0755 | Corrected |
| Apr 04, 2024 | D | Pharmacy | F0761 | Corrected |
| Apr 04, 2024 | D | Quality of Care | F0692 | Corrected |
| Apr 04, 2024 | D | Quality of Care | F0695 | Corrected |
| Apr 04, 2024 | B | Care Planning | F0656 | Corrected |
| Apr 04, 2024 | B | Care Planning | F0657 | Corrected |
| Apr 04, 2024 | D | Care Planning | F0658 | Corrected |
| Apr 04, 2024 | D | Care Planning | F0842 | Corrected |
| Apr 04, 2024 | D | Resident Rights | F0554 | Corrected |
| Apr 04, 2024 | D | Resident Rights | F0580 | Corrected |
| Aug 03, 2023 | E | Environmental | F0908 | Corrected |
| Aug 03, 2023 | D | Environmental | F0909 | Corrected |
| Aug 03, 2023 | E | Nutrition | F0812 | Corrected |
| Aug 03, 2023 | B | Nutrition | F0814 | Corrected |
| Aug 03, 2023 | B | Pharmacy | F0755 | Corrected |
| Aug 03, 2023 | D | Pharmacy | F0758 | Corrected |
| Aug 03, 2023 | D | Pharmacy | F0761 | Corrected |
| Aug 03, 2023 | D | Quality of Care | F0684 | Corrected |
| Aug 03, 2023 | D | Quality of Care | F0700 | Corrected |
| Aug 03, 2023 | D | Care Planning | F0656 | Corrected |
| Aug 03, 2023 | D | Care Planning | F0842 | Corrected |
| Aug 03, 2023 | D | Resident Rights | F0578 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Resident Census by Payment Source
Programs & Services
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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
- 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.
- 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).
- 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).
- 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).
- 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.
- 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).
- 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
Multipurpose Senior Services Program
Requirements:
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General:
Age 65+, California resident, Medi-Cal eligible, nursing home risk.
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Income Limits (2025):
~$2,829/month (300% FBR, individual).
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Asset Limits:
$2,000 (individual), $3,000 (couple).
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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.
In-Home Supportive Services (IHSS)
Requirements:
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General:
Age 65+, California resident, Medicaid-eligible or low-income.
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Income Limits:
~$1,732/month (individual, Medi-Cal threshold).
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Asset Limits:
$2,000 (individual).
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CA Specifics:
Can hire family as caregivers.
Benefits without Contact:
- Services: Personal care (up to 283 hours/month), homemaker services, respite (varies).
Multipurpose Senior Services Program (MSSP)
Requirements:
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General:
Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
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Income Limits:
~$2,829/month (300% FBR, individual).
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Asset Limits:
$2,000 (individual).
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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).
Property Tax Postponement Program (PTP)
Requirements:
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General:
Age 62+, California resident, own and live in home, 40% equity.
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Income Limits (2025):
~$51,500/year (household, adjusted annually).
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Asset Limits:
Equity-based; no strict asset cap.
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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).
Assisted Living Waiver (ALW)
Requirements:
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General:
Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.
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Income Limits:
~$2,829/month (300% FBR, individual).
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Asset Limits:
$2,000 (individual).
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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.
California CARES Program
Requirements:
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General:
Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
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Income Limits:
No strict limit; cost-sharing above ~$2,500/month threshold.
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Asset Limits:
Not applicable; need-based.
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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).
Low-Income Home Energy Assistance Program (LIHEAP)
Requirements:
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General:
Age 60+ priority, California resident, low-income, utility/heating need.
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Income Limits (2025):
~$2,510/month (200% of poverty level, individual).
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Asset Limits:
Not applicable; income-focused.
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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).
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