Skilled nursing facility · CMS certification number 555922
ORCHARDS SKILLED NURSING
RANCHO MISSION VIEJO, California · Medicare · 49 certified beds in Care Compare
Download ORCHARDS SKILLED NURSING’s record (CSV, each figure with its worksheet, line and column)
ORCHARDS SKILLED NURSING: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
- Net patient revenue rose from $15.1M in fiscal year 2023 to $16.4M in fiscal year 2024.
- Its result from service to patients: −$5.4M (2022), −$3.0M (2023), −$2.5M (2024).
- Its cost reports on file run from fiscal year 2021 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on August 29, 2025, 4 changes are listed on this record: 3 deficiencies and an inspection.
- Its net patient revenue of $16.4M ranks 381st of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
ORCHARDS SKILLED NURSING: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1438367 | 2023 · report 1392725 | 2022 · report 1365675 | 2021 · report 1330494 |
|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | June 13, 2021 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 |
| Days, where not a full year | — | — | — | 201 |
| Processed by CMS | August 29, 2025 | August 20, 2024 | September 27, 2023 | August 23, 2022 |
| Total patient revenue | $17,880,086 | $15,648,153 | $10,333,953 | $2,989,966 |
| Contractual allowances and discounts | $1,438,431 | $533,984 | $331,245 | $97,560 |
| Net patient revenue | $16,441,655 | $15,114,169 | $10,002,708 | $2,892,406 |
| Total operating expenses | $18,926,021 | $18,071,642 | $15,353,297 | $5,244,167 |
| Net income from service to patients | −$2,484,366 | −$2,957,473 | −$5,350,589 | −$2,351,761 |
| Total other income | $109,989 | $156,840 | $140,106 | $51,614 |
| Net income after other income | −$2,374,377 | −$2,800,633 | −$5,210,483 | −$2,300,147 |
| Net income | −$2,374,377 | −$2,800,633 | −$5,210,483 | −$2,300,147 |
| Total facility beds, all components | 127 | 127 | 127 | 127 |
| Bed days available, all components | 46,482 | — | — | — |
| Medicare (Title XVIII) patient days | 9,457 | — | — | — |
| Other-payer patient days | 24,136 | — | — | — |
| Total patient days, all components | 33,593 | 33,358 | 13,825 | 8,173 |
| Medicare discharges | 335 | — | — | — |
| Other-payer discharges | 113 | — | — | — |
| Total discharges, all components | 448 | 436 | 286 | 83 |
| Average length of stay, Medicare, in days | 28.23 | 25.96 | 23.56 | 17.54 |
| Average length of stay, all patients, in days | 74.98 | 76.51 | 48.34 | 98.47 |
Net income, fiscal years 2024, 2023, 2022, 2021. Checked against the form’s own arithmetic: what that check shows.
ORCHARDS SKILLED NURSING: nurse staffing hours by quarter →
Who owns ORCHARDS SKILLED NURSING, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BOURNE, TROY (individual), NO PERCENTAGE PROVIDED, since 08/06/2016; CURRIE, RYAN (individual), NO PERCENTAGE PROVIDED, since 08/10/2016; SPIEKER CLC LLC (organization), NO PERCENTAGE PROVIDED, since 08/06/2016; SPIEKER, MEGHAN (individual), NO PERCENTAGE PROVIDED, since 08/10/2016; SPIEKER, WARREN (individual), NO PERCENTAGE PROVIDED, since 08/10/2016
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: SPIEKER 1991 TRUST (organization), 71%%, since 08/10/2016
- OPERATIONAL/MANAGERIAL CONTROL: CURRIE, RYAN (individual), NOT APPLICABLE, since 10/16/2020
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of THE ORCHARDS HC LLC (enrollment ID O20201202001416).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: MEGHAN SPIEKER (individual), 8.00%, since 08/10/2016; RYAN W CURRIE (individual), 10.00%, since 08/10/2016; SPIEKER CLC LLC (organization), 72.00%, since 08/06/2016; TROY A BOURNE (individual), 10.00%, since 08/06/2016; WARREN E. SPIEKER (individual), 8.00%, since 08/10/2016
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: SPIEKER 1991 TRUST (organization), 71.28%, since 08/10/2016
- OPERATIONAL/MANAGERIAL CONTROL: RYAN W CURRIE (individual), 10.00%, since 10/16/2020
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: MEGHAN SPIEKER; RYAN W CURRIE; TROY A BOURNE; WARREN E. SPIEKER; RYAN W CURRIE.
Private equity company, real estate investment trust and holding company: No: SPIEKER CLC LLC; SPIEKER 1991 TRUST.
Changes in ownership
- February 1, 2025, enrollment ownership file; first listed: RYAN W CURRIE (OPERATIONAL/MANAGERIAL CONTROL), associated since October 16, 2020; RYAN W CURRIE (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since August 10, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 1, 2025, enrollment ownership file; no longer listed: RYAN W CURRIE (OPERATIONAL/MANAGERIAL CONTROL); RYAN W CURRIE (5% OR GREATER DIRECT OWNERSHIP INTEREST). Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
Recent changes on this record
- July 16, 2026: A deficiency was cited under tag F 0757, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 16, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 16, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 16, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
Inspections of ORCHARDS SKILLED NURSING
- Cycle 1: health July 16, 2026 (3 deficiencies), fire safety July 16, 2026 (8)
- Cycle 2: health April 17, 2025 (10 deficiencies), fire safety April 17, 2025 (1)
- Cycle 3: health April 4, 2024 (17 deficiencies), fire safety April 4, 2024 (2)
- Cycle 3: health August 3, 2023 (12 deficiencies), fire safety August 3, 2023 (2)
Deficiencies cited at ORCHARDS SKILLED NURSING
42 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 1 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0689, quality of life and care: July 16, 2026 (D, corrected July 27, 2026).
- F 0755, pharmacy service: July 16, 2026 (D, corrected July 27, 2026); April 17, 2025 (D, corrected May 9, 2025); April 4, 2024 (D, corrected April 26, 2024); August 3, 2023 (B, corrected August 22, 2023).
- F 0757, pharmacy service: July 16, 2026 (D, corrected July 27, 2026).
- F 0578, resident rights: April 17, 2025 (D, corrected May 9, 2025); August 3, 2023 (D, corrected August 22, 2023).
- F 0583, resident rights: April 17, 2025 (B, corrected May 9, 2025).
- F 0684, quality of life and care: April 17, 2025 (D, corrected May 9, 2025); August 3, 2023 (D, corrected August 22, 2023).
- F 0695, quality of life and care: April 17, 2025 (D, corrected May 9, 2025); April 4, 2024 (D, corrected April 26, 2024).
- F 0812, nutrition and dietary: April 17, 2025 (E, corrected May 9, 2025); April 4, 2024 (F, corrected April 26, 2024); August 3, 2023 (E, corrected August 22, 2023).
- F 0838, administration: April 17, 2025 (D, corrected May 9, 2025).
- F 0842, resident assessment and care planning: April 17, 2025 (B, corrected May 9, 2025); April 4, 2024 (D, corrected April 26, 2024); August 3, 2023 (D, corrected August 22, 2023).
- F 0849, administration: April 17, 2025 (D, corrected May 9, 2025).
- F 0880, infection control: April 17, 2025 (D, corrected May 9, 2025); April 4, 2024 (D, corrected April 26, 2024).
- F 0554, resident rights: April 4, 2024 (D, corrected April 26, 2024).
- F 0580, resident rights: April 4, 2024 (D, corrected April 26, 2024).
- F 0656, resident assessment and care planning: April 4, 2024 (B, from a complaint, corrected April 26, 2024); August 3, 2023 (D, corrected August 22, 2023).
- F 0657, resident assessment and care planning: April 4, 2024 (B, corrected April 26, 2024).
- F 0658, resident assessment and care planning: April 4, 2024 (D, corrected April 26, 2024).
- F 0692, quality of life and care: April 4, 2024 (D, corrected April 26, 2024).
- F 0761, pharmacy service: April 4, 2024 (D, corrected April 26, 2024); August 3, 2023 (D, corrected August 22, 2023).
- F 0801, nutrition and dietary: April 4, 2024 (D, corrected April 26, 2024).
- F 0803, nutrition and dietary: April 4, 2024 (D, corrected April 26, 2024).
- F 0806, nutrition and dietary: April 4, 2024 (D, corrected April 26, 2024).
- F 0813, nutrition and dietary: April 4, 2024 (D, corrected April 26, 2024).
- F 0814, nutrition and dietary: April 4, 2024 (B, corrected April 26, 2024); August 3, 2023 (B, corrected August 22, 2023).
- F 0700, quality of life and care: August 3, 2023 (D, corrected August 22, 2023).
- F 0758, pharmacy service: August 3, 2023 (D, corrected August 22, 2023).
- F 0908, environmental: August 3, 2023 (E, corrected August 22, 2023).
- F 0909, environmental: August 3, 2023 (D, corrected August 22, 2023).
ORCHARDS SKILLED NURSING in Care Compare
- 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
- Average Number of Residents per Day: 45.6
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for ORCHARDS SKILLED NURSING: no penalty in Care Compare.
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Report a figure on ORCHARDS SKILLED NURSING’s record that differs from its CMS file, quoting 555922.