Orchard Valley Health and RehabilitationCMS ratings, inspections and fines
- Address
- 200 Heritage Circle, Hendersonville, NC 28791
- CCN
- 345285
- Ownership type
- For-profit, corporation
- Certified beds
- 134
- Residents per day
- 101
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Orchard Valley Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 20 Feb 2026. The latest survey cycle has 7 health citations. The median for nursing homes in North Carolina is 3. CMS lists 1 fine of $16,452 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Henderson County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Feb 2026 | 7 | 3 |
| Cycle 2 | 6 Dec 2024 | 28 | 5 |
| Cycle 3 | No date | 11 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 16 Mar 2026 |
| 20 Feb 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 16 Mar 2026 |
| 20 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 16 Mar 2026 |
| 20 Feb 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Mar 2026 |
| 20 Feb 2026 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 16 Mar 2026 |
| 20 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 16 Mar 2026 |
| 20 Feb 2026 | F0700 | 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. | D | Standard survey | 16 Mar 2026 |
Survey cycle 2: 28 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 13 Aug 2025 |
| 24 Jul 2025 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 13 Aug 2025 |
| 6 Dec 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 3 Jan 2025 |
| 6 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0578 | 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. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0584 | 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. | E | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 3 Jan 2025 |
| 6 Dec 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | C | Standard survey | 3 Jan 2025 |
| 6 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 3 Jan 2025 |
| 6 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0803 | 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. | F | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0808 | 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. | D | Standard survey | 3 Jan 2025 |
| 6 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 Jan 2025 |
| 6 Dec 2024 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | B | Complaint investigation | 3 Jan 2025 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Jun 2024 |
| 21 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 13 Jun 2024 |
| 21 Jun 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C | Complaint investigation | 9 Jul 2024 |
| 13 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Nov 2023 |
| 13 Oct 2023 | F0687 | Provide appropriate foot care. | E | Standard survey | 3 Nov 2023 |
| 13 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 3 Nov 2023 |
| 13 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 3 Nov 2023 |
| 13 Oct 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 3 Nov 2023 |
| 13 Oct 2023 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 3 Nov 2023 |
| 13 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Nov 2023 |
| 13 Oct 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 3 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 21 Jun 2024 | Fine | $16,452 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.11 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.43 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.59 | 0.89 | |
| Nurse aides | 2.09 | 2.34 | |
| All nurse staff, weekends | 2.80 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 73.5%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 71.4%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.0% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.4% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Hendersonville NC Opco LLC
- Chain
- Ascent Healthcare Management (6 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Henderson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Laurels of Hendersonville | Hendersonville | 3 of 5 | 4 | $36,257 | 5 Jun 2026 | |
| The Greens at Hendersonville | Hendersonville | 3 of 5 | 2 | $101,733 | 16 Jan 2026 | |
| Life Care Center of Hendersonville | Hendersonville | 3 of 5 | 5 | $40,986 | 27 Aug 2025 | |
| Carolina Village Inc | Hendersonville | 5 of 5 | 0 | $0 | 9 Apr 2026 | |
| Valley Hill Health & Rehab Center | Hendersonville | 2 of 5 | 6 | $58,949 | 27 Jun 2025 | |
| Fletcher Rehabilitation and Healthcare Center | Fletcher | 1 of 5 | 21 | $62,868 | 2 Jun 2025 | |
| Hendersonville Health and Rehabilitation | Flat Rock | 5 of 5 | 0 | $0 | 18 Sep 2025 | |
| The Lodge at Mills River | Mills River | 5 of 5 | 1 | $0 | 3 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Orchard Valley Health and Rehabilitation (CCN 345285). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/orchard-valley-health-and-rehabilitation-hendersonville-nc-345285/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Orchard Valley Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 20 Feb 2026. It was a standard survey and a complaint investigation. It gave 7 citations. The standard survey before the last one was on 6 Dec 2024.
- Who operates Orchard Valley Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Ascent Healthcare Management. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Orchard Valley Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.