Orchard Valley Health and Rehabilitation
Nursing home in Hendersonville, NC
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 200 Heritage Circle, Hendersonville, NC 28791
- Phone
- (828) 693-5849
- Listed under
- For-profit
- Medicare CCN
- 345285
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 134
- Average residents per day
- 101
- Ownership
- For-profit, corporation
- Legal business name
- Hendersonville Nc Opco LLC
- Chain
- Ascent Healthcare Management (6 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jun 30, 1988
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Feb 20, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 13, 2023 to Feb 20, 2026): 31 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 20, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| Feb 20, 2026 | Assure that each resident’s assessment is updated at least once every 3 months. | D |
| Feb 20, 2026 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Feb 20, 2026 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D |
| Feb 20, 2026 | Provide enough food/fluids to maintain a resident's health. | D |
| Feb 20, 2026 | 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… | D |
| Feb 20, 2026 | Ensure each resident receives an accurate assessment. | E |
| Jul 24, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Jul 24, 2025 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D |
| Dec 6, 2024 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| Dec 6, 2024 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | B |
| Dec 6, 2024 | Ensure the activities program is directed by a qualified professional. | C |
Fines and payment denials
CMS records 1 fine totalling $16,452 in the last three years.
| Jun 21, 2024 | Fine: $16,452 |
Staffing
- Total nurse staffing per resident per day
- 3.11 hours
- Registered nurse (RN) time per resident per day
- 0.43 hours
- Nurse aide time per resident per day
- 2.09 hours
- Total nurse staffing on weekends
- 2.80 hours
- Nursing staff turnover (yearly)
- 74%
- RN turnover (yearly)
- 71%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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