Nursing HomeInspections

Orchard Valley Health and Rehabilitation

Nursing home in Hendersonville, NC

Medicare & Medicaid certified1★ overall (CMS)

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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
2 of 5
Certified beds
134
Average residents per day
100
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

CMS certification number 345285. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

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”.

InspectionCitationSeverity
Feb 20, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 20, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 20, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 20, 2026Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 20, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 20, 2026Try 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…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 20, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jul 24, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 24, 2025Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 6, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · complaint inspection		B
Potential for minimal harm, pattern
Dec 6, 2024Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental · complaint inspection		B
Potential for minimal harm, pattern
Dec 6, 2024Ensure the activities program is directed by a qualified professional.
Quality of Life and Care		C
Potential for minimal harm, widespread

Showing the 12 most recent of 46. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,452 in the last three years.

Jun 21, 2024Fine: $16,452

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.14 hours
Registered nurse (RN) time per resident per day
0.50 hours
Nurse aide time per resident per day
2.18 hours
Total nurse staffing on weekends
2.83 hours
Nursing staff turnover (yearly)
73%
RN turnover (yearly)
74%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Hendersonville

Carolina Village Inc600 Carolina Village Road SUITE Z · Hendersonville, NC 28792 · (828) 692-6275 · Nonprofit3 health citations in 3 inspection cycles · last standard inspection Apr 9, 2026 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)
Life Care Center of Hendersonville400 Thompson Street · Hendersonville, NC 28792 · (828) 697-4348 · For-profit32 health citations in 3 inspection cycles · last standard inspection Aug 27, 2025 · $40,986 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
The Greens at Hendersonville1870 Pisgah Drive · Hendersonville, NC 28791 · (828) 693-9796 · For-profit34 health citations in 3 inspection cycles · last standard inspection Jan 16, 2026 · $101,733 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
The Laurels of Hendersonville290 Clear Creek Road · Hendersonville, NC 28792 · (828) 692-6000 · For-profit22 health citations in 3 inspection cycles · last standard inspection Jun 5, 2026 · $36,257 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
Valley Hill Health & Rehab Center1510 Hebron Road · Hendersonville, NC 28739 · (828) 693-8461 · For-profit32 health citations in 3 inspection cycles · last standard inspection Jun 27, 2025 · $58,949 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 6 in Hendersonville →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error