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The Orchards Assisted Living

1 Amistad Drive, Mission Viejo, CA 92694

Assisted Living

The Orchards is a new, state of the art, open to the public, care community providing living options in Assisted Living, Memory Care, and 24-hour Skilled Nursing. Nestled amongst gentle rolling hills and orange groves, The Orchards is located on the border of San Juan Capistrano and Rancho Mission Viejo.

With 90 beds, The Orchards Assisted Living is one of the larger communities in the area, senior care communities in Mission Viejo average about 11 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2025 and recorded 10 deficiencies.

Residents receive about 5.4 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 33%.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 39 problems at The Orchards Assisted Living. None of them caused harm to a resident. 1 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    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.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    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.

    Inspected April 2025. Corrected by May 9, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected April 2025. Corrected by May 9, 2025.

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  • Minimal harm or the potential for it, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected April 2025. Corrected by May 9, 2025.

  • Minimal harm or the potential for it, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected April 2025. Corrected by May 9, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Orchards Assisted Living offers assisted living.

Facility details

  • Organization type for-profit individually owned and operated business
  • Beds / units 90
  • Nursing hours per resident/day 5.4
  • Annual staff turnover 33%
  • Last health inspection April 2025

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