Orchards Skilled Nursing
1 AMISTAD DRIVE, Ladera Ranch, CA 92694
Ladera Ranch, California · CMS verdict
Orchards Skilled Nursing's CMS overall star rating stands at 5 of 5, above the California state average (3.1) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Orchards Skilled Nursing in Ladera Ranch, California holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 71 of 100 (grade C). The 49-bed facility operates where a semi-private nursing-home room in California runs a median of $12,167 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 71 is built
Each segment is a dimension's weighted points toward the score, summing to 71.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Orchards Skilled Nursing carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (4/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Ladera Ranch, California, this facility operates 49 certified beds with an average daily census of roughly 43 residents - an occupancy rate of about 88%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At about 88% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within California, Orchards Skilled Nursing is one of 606 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.9 stars, ahead of roughly 82% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (39 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Orchards Skilled Nursing compares to California
CMS five-star sub-ratings (0–5) for this facility against the California facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = California state average. Higher is better on all four CMS measures.
Where Orchards Skilled Nursing ranks in California
Among the 1,154 CMS-rated nursing homes in California, Orchards Skilled Nursing’s 5-star overall rating is higher than 76% of them. The bars show how all California homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
279 California homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 49 |
| Residents | 43 |
| Ownership | For profit - Limited Liability company |
| County | Orange |
| Penalties | 0 |
| Deficiencies | 39 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Orchards Skilled Nursing? ▾
Orchards Skilled Nursing has an overall CMS quality rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 5/5.
How much does a nursing home cost per month in California? ▾
The median cost for a semi-private nursing home room in California is $12,167 per month ($146,000 annually). A private room averages $15,178 per month. Costs are from the CareScout 2025 survey.
What services does Orchards Skilled Nursing offer? ▾
Orchards Skilled Nursing operates as a skilled nursing facility (49 beds with approximately 43 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 39 deficiencies and 0 penalties there.
Does Orchards Skilled Nursing have any deficiencies or penalties? ▾
Orchards Skilled Nursing has multiple deficiencies (39 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in California? ▾
In California, alternatives include assisted living ($7,000/mo), home health aides ($7,627/mo), and adult day care ($2,037/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the California elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 555922.
Read our methodology - how this data is sourced, computed, and verified.