Skilled nursing facility · CMS certification number 555922

ORCHARDS SKILLED NURSING

RANCHO MISSION VIEJO, California · Medicare

Certified beds, as filed in Care Compare: 49

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$17,880,086	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,438,431	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,441,655	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,926,021	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,484,366	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$109,989	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,374,377	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,374,377 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	127	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	46,482	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	9,457	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	24,136	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	33,593	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	335	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	113	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	448	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	74.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438367, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$15,648,153	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$533,984	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,114,169	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,071,642	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,957,473	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$156,840	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,800,633	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,800,633 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	436	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	76.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392725, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,333,953	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$331,245	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,002,708	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,353,297	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,350,589	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$140,106	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$5,210,483	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,210,483 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,825	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	286	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	48.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365675, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 13 June 2021 to 31 December 2021 — a reporting period of 201 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,989,966	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$97,560	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,892,406	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,244,167	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,351,761	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$51,614	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,300,147	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,300,147 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,173	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	98.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330494, read from the public cost report file SNF10FY2021.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
BOURNE, TROY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 08/06/2016
CURRIE, RYAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 08/10/2016
SPIEKER CLC LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 08/06/2016
SPIEKER, MEGHAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 08/10/2016
SPIEKER, WARREN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 08/10/2016
SPIEKER 1991 TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	71%	since 08/10/2016
CURRIE, RYAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/16/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE ORCHARDS HC LLC (enrollment ID O20201202001416).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MEGHAN SPIEKER	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	8	8/10/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RYAN W CURRIE	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	10	8/10/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SPIEKER CLC LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	72	8/6/2016	Private equity company: No Real estate investment trust: No Holding company: No
TROY A BOURNE	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	10	8/6/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WARREN E. SPIEKER	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	8	8/10/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SPIEKER 1991 TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	71.28	8/10/2016	Private equity company: No Real estate investment trust: No Holding company: No
RYAN W CURRIE	Individual	OPERATIONAL/MANAGERIAL CONTROL	10	10/16/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: SPIEKER 1991 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SPIEKER 1991 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2025: RYAN W CURRIE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RYAN W CURRIE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 January 2025: RYAN W CURRIE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
1 January 2025: RYAN W CURRIE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv

Recent changes on this record

1 July 2026: SPIEKER 1991 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SPIEKER 1991 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 February 2025: RYAN W CURRIE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RYAN W CURRIE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 January 2025: RYAN W CURRIE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
1 January 2025: RYAN W CURRIE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
20 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
27 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
23 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	17 April 2025	17 April 2025	10	1
2	4 April 2024	4 April 2024	17	2
3	3 August 2023	3 August 2023	12	2

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

39 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 April 2025	Health	F 0578	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	B	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0838	Administration Deficiencies	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.	D	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	B	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0849	Administration Deficiencies	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.	D	No	Deficient, Provider has date of correction	9 May 2025
17 April 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	9 May 2025
4 April 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	B	Yes	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	B	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0801	Nutrition and Dietary Deficiencies	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.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0803	Nutrition and Dietary Deficiencies	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.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	B	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	26 April 2024
4 April 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	26 April 2024
3 August 2023	Health	F 0578	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0700	Quality of Life and Care Deficiencies	Try 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.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	B	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement 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.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	B	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	No	Deficient, Provider has date of correction	22 August 2023
3 August 2023	Health	F 0909	Environmental Deficiencies	Regularly 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.	D	No	Deficient, Provider has date of correction	22 August 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	For profit - Limited Liability company
Legal Business Name	THE ORCHARDS HC LLC
Date First Approved to Provide Medicare and Medicaid Services	2021-06-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Orange
Telephone Number	9494438900
Chain Name	CONTINUING LIFE
Chain ID	160
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	49
Average Number of Residents per Day	45.4
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: SPIEKER 1991 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for ORCHARDS SKILLED NURSING

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