| Orchards Skilled Nursing | |
| 1 Amistad Drive, Rancho Mission Viejo, California 92694 | |
| (949) 443-8900 | |
| Name | Orchards Skilled Nursing |
|---|---|
| Location | 1 Amistad Drive, Rancho Mission Viejo, California |
| Certified By | Medicare |
| No. of Certified Beds | 49 |
| Occupancy Rate | 92.65% |
| Medicare ID (CCN) | 555922 |
| Legal Business Name | The Orchards HC LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Continuing Life (6 nursing homes) |
| Chain Average Overall Rating | 4.8 out of 5 |
| NPI Number | 1689272528 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Orchards HC LLC |
| Address | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 |
| Phone Number | 949-444-6243 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.35 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.93 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.58 | 0.86 |
| Nurse aide hours per resident per day | 2.84 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.75 | 3.42 |
| RN hours per resident per day on the weekend | 0.56 | 0.48 |
| Physical therapist hours per resident per day | 0.29 | 0.07 |
| Total nursing staff turnover | 33.3% | 45.8% |
| Registered nurse turnover | 27.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 17, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 9, 2025 |
| Apr 17, 2025 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | 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. F0838, Administration, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | 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. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Apr 17, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by May 9, 2025 |
| Apr 17, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by May 9, 2025 |
| Apr 4, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Ensure 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Ensure 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Minimal harm potential, pattern | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 26, 2024 |
| Apr 4, 2024 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 26, 2024 |
| Aug 3, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 22, 2023 |
| Aug 3, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Aug 22, 2023 |
| Aug 3, 2023 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 22, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.44 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 14.89 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.17 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.13 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.52 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.4 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.66 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 5.56 | 15.38 |