Nursing home · Top rated by CMS
Orchards Skilled Nursing
1 Amistad Drive, Ladera Ranch, CA 92694 · Map
For profit - Limited Liability company · Part of Continuing Life (6 facilities) · 49 certified beds
Orchards Skilled Nursing is a Medicare-certified nursing home in Ladera Ranch, California. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.65 hours per resident per day, above the California average of 4.51. Its most recent inspection on Apr 17, 2025 cited 10 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Orchards Skilled Nursing compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.65 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.90 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.94 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 35.6% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Orchards Skilled Nursing
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Conduct 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.
Administration Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Honor 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.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF) - Minimal
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 17, 2025 · Full report (PDF) - Minimal
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 4, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1 Amistad Drive
Ladera Ranch, CA 92694 - CMS certification #
- 555922
- Ownership
- For profit - Limited Liability company
- Certified beds
- 49
- Avg residents/day
- 43.3
- Provider type
- Medicare and Medicaid
- First certified
- 2021-06-13
- Chain
- Continuing Life (6 facilities)
- Setting
- Urban
Part of Continuing Life
Continuing Life operates 6 nursing facilities across the United States. View all Continuing Life facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Orchards Skilled Nursing using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Providence Mission Hospital, Mission Viejo. 0.5 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- San Juan Hills Healthcare Center, San Juan Capistrano. 3.8 miles away, straight line.
- Nearest home health agency office
- Royal Home Health Services, Mission Viejo. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92694 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Mission Viejo Dialysis, Mission Viejo, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
Shc Laguna Hills, Laguna Hills, 3.4 miles away, straight line (CMS rating 5 of 5 stars)
Davita San Juan Capistrano South Dialysis, San Juan Capistrano, 3.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 51 Medicare hospices tell CMS they serve ZIP code 92694.
Providence At Home With Compassus Hospice Care Orange County South, office in Mission Viejo, 0.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Silverstone Hospice Care Inc, office in Mission Viejo, 0.6 miles away, straight line
Vision Viejo Hospice Services, office in Mission Viejo, 0.8 miles away, straight line - Nearest geriatric medicine practice
- Roger Tran, MD, San Juan Capistrano. 3.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Mission Viejo, CA, risk to homes is greater than 68% of communities in California and 93% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding very high, wildfire relatively moderate, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Orchards Skilled Nursing a good nursing home?
CMS gives Orchards Skilled Nursing an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Orchards Skilled Nursing staffed?
Orchards Skilled Nursing reports 5.65 total nurse hours per resident per day, compared with the California average of 4.51.
Has Orchards Skilled Nursing had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Orchards Skilled Nursing have?
Orchards Skilled Nursing is certified for 49 beds.