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Medicare-certifiedSkilled Nursing

Orchard Valley Health and Rehabilitation

Hendersonville, North CarolinaMedicare inspection record
(828) 693-5849

About Orchard Valley Health and Rehabilitation

Orchard Valley Health and Rehabilitation is a for profit - corporation nursing home in Hendersonville, NC with 134 certified beds.

Community at a glance

Capacity

134 residents

Location

Hendersonville, NC

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

200 Heritage Circle, Hendersonville, North Carolina 28791

(828) 693-5849

Medicare inspection record

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 7 minutesBelow the North Carolina average
Registered nurse time per resident, per day26 minutesBelow the North Carolina average
Nursing staff who left in the past year74%Above the North Carolina average

2 administrators have left the home in the past year.

Inspections

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.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 16, 2026
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 16, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 16, 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 16, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 16, 2026
  • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 16, 2026
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 16, 2026

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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Aug 13, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 13, 2025
December 6, 2024 · Standard inspection · 26 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jan 3, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jan 3, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 3, 2025
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 3, 2025
  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jan 3, 2025
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 3, 2025
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 3, 2025
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 3, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 3, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 3, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 3, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 3, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jan 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jan 3, 2025
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Jan 3, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 3, 2025
  • Plan the resident's discharge to meet the resident's goals and needs.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 3, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 3, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 3, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 3, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 3, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 3, 2025
  • Ensure the activities program is directed by a qualified professional.

    Minimal harm or risk, widespread (level C)Quality of Life and CareCorrected Jan 3, 2025
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted
  • Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Minimal harm or risk, a pattern (level B)EnvironmentalFrom a complaintPlan to fix it accepted
June 21, 2024 · Complaint investigation · 3 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jun 13, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jun 13, 2024
  • Hire a qualified full-time social worker in a facility with more than 120 beds.

    Minimal harm or risk, widespread (level C)AdministrationFrom a complaintPlan to fix it accepted

Fines and payment denials

1 fine totaling $16,452 in the last three years.

  • June 21, 2024Fine: $16,452

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Hendersonville Nc Opco LLC
Medicare-certified beds
134
Average residents per day
101
Accepts
Medicare and Medicaid
First certified
June 30, 1988
Part of a chain
Ascent Healthcare Management, 6 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
345285

Location

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200 Heritage CircleHendersonville, NC 28791

12 other communities within 10 miles

Senior living near Hendersonville

Questions about Orchard Valley Health and Rehabilitation

How did Orchard Valley Health and Rehabilitation do on its last inspection?+

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.

How much nursing care does each resident get at Orchard Valley Health and Rehabilitation?+

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.

Has Orchard Valley Health and Rehabilitation been fined by Medicare?+

Yes. Medicare fined Orchard Valley Health and Rehabilitation once in the last three years, totaling $16,452.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Hendersonville Skilled Nursing in North Carolina Skilled Nursing guide Information last updated October 2026