ORCHARDS SKILLED NURSING
1 AMISTAD DRIVE, LADERA RANCH, CA 92694 · CCN 555922
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 49
- Avg residents/day
- 43.3
- Phone
- 9494438900
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-17 | 10 | 15.6 | 9.5 | -5.6 better |
| 2 | 2024-04-04 | 17 | 17.4 | 9.8 | -0.4 better |
| 3 | 2023-08-03 | 12 | 17.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.65 | 35.6% |
| RN staffing (reported) | 0.90 | 37.5% |
| Total nurse staffing (adjusted) | 4.88 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CONTINUING LIFE
- Facilities in chain
- 6
- Chain avg overall
- 4.80 / 5
Inspection citations (39)
- DF0578Honor 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.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- BF0583Keep residents' personal and medical records private and confidential.2025-04-17 · Health · corrected 2025-05-09
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0838Conduct 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.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-17 · Health · corrected 2025-05-09
Potential for minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-04 · Health · corrected 2024-04-26
Potential for minimal harm
- BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-04 · Health · corrected 2024-04-26
Potential for minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0761Ensure 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.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0803Ensure 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.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- BF0814Dispose of garbage and refuse properly.2024-04-04 · Health · corrected 2024-04-26
Potential for minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-04 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0578Honor 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.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- BF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-03 · Health · corrected 2023-08-22
Potential for minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- DF0761Ensure 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.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- BF0814Dispose of garbage and refuse properly.2023-08-03 · Health · corrected 2023-08-22
Potential for minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
- DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2023-08-03 · Health · corrected 2023-08-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SPIEKER 1991 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 71% | 2016-08-10 |
| BOURNE, TROY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-08-06 |
| CURRIE, RYAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-08-10 |
| SPIEKER CLC LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-08-06 |
| SPIEKER, WARREN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-08-10 |
| CURRIE, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-10-16 |
| SPIEKER, MEGHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-08-10 |
Other facilities in LADERA RANCH
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.