Heritage Hills Senior Living
State licensed2500 HERITAGE CIR, Hendersonville, NC 28791
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Orchard Valley Health and Rehabilitation is a for profit - corporation nursing home in Hendersonville, NC with 134 certified beds.
Capacity
134 residents
Location
Hendersonville, NC
Status
Listed in a public registry
200 Heritage Circle, Hendersonville, North Carolina 28791
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 20, 2026, state inspectors cited 7 health deficiencies (the North Carolina average is 4.7).
Nurses and nurse aides spend 3 hours 7 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.
Medicare fined Orchard Valley Health and Rehabilitation once in the last three years, $16,452 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 7 minutesBelow the North Carolina average |
| Registered nurse time per resident, per day | 26 minutesBelow the North Carolina average |
| Nursing staff who left in the past year | 74%Above the North Carolina average |
2 administrators have left the home in the past year.
38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 20, 2026 · Standard inspection · 7 citations
Ensure each resident receives an accurate assessment.
Assure that each resident’s assessment is updated at least once every 3 months.
Provide enough food/fluids to maintain a resident's health.
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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Reasonably accommodate the needs and preferences of each resident.
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
July 24, 2025 · Complaint investigation · 2 citations
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Assure that each resident’s assessment is updated at least once every 3 months.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Reasonably accommodate the needs and preferences of each resident.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Plan the resident's discharge to meet the resident's goals and needs.
Ensure that residents are free from significant medication errors.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Ensure the activities program is directed by a qualified professional.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Hire a qualified full-time social worker in a facility with more than 120 beds.
1 fine totaling $16,452 in the last three years.
200 Heritage CircleHendersonville, NC 28791
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State inspectors visited on February 20, 2026 and cited 7 health deficiencies, 2 of them from complaint investigations. The North Carolina average is 4.7.
Nurses and aides spend 3 hours 7 minutes with each resident per day, including 26 minutes from registered nurses. 74% of nursing staff left over the past year.
Yes. Medicare fined Orchard Valley Health and Rehabilitation once in the last three years, totaling $16,452.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.