Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ORCHARDS SKILLED NURSING
RANCHO MISSION VIEJO, CA · 49 certified beds · Last Life Safety survey July 16, 2026
CMS Certification Number 555922 · first certified June 2021
Also on this campus
The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: The Orchards Assisted Living (1 Amistad Drive). Matched by the telephone number the two records share. The records are separate and are never added together.
Ownership
Operated by CONTINUING LIFE · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within CA
11 citations — more than 14% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 8 citations; the earlier surveys on file averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens July 2027 — about 8 months from now. This facility’s last Life Safety survey was July 2026. Facilities in CA are typically surveyed 12–16 months after the last one (median 14), measured over 1,814 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
Get an email about ORCHARDS SKILLED NURSING
One email when it happens. No account; stop it any time with one click.
1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 4, 2024 | 2 |
| April 17, 2025 | 1 |
| July 16, 2026 | 8 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 2 | 2026-07-16 |
| K-0711 | Provide a written emergency evacuation plan. | 1 | 2024-04-04 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2026-07-16 |
| K-0912 | Have power receptacles that are properly grounded. | 1 | 2026-07-16 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2026-07-16 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2025-04-17 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2026-07-16 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2026-07-16 |
What the citations cover
- Smoke Deficiencies 5
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Miscellaneous Deficiencies 1
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 5 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Miscellaneous Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 16, 2026 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (August 16, 2026) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (August 16, 2026) |
April 17, 2025 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 29, 2025) |
April 4, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (April 20, 2024) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (April 20, 2024) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.