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HomeNorth CarolinaOrchard Valley Health and Rehabilitation

Orchard Valley Health and Rehabilitation

200 Heritage Circle, Hendersonville, NC 287918286935849WebsiteGoogle Maps
3.9on Google(19 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
1/5
Beds
134
certified
1 fine(s) totaling $16,452

How Orchard Valley Health and Rehabilitation Compares in North Carolina

Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
NC average
2.9/5
Below state average
Health inspection rating
2/5
NC average
2.9/5
Below state average
Staffing rating
1/5
NC average
2.7/5
Below state average
Nursing hours per resident
3.11 hrs/day
NC average
3.82 hrs/day
Below state average
RN hours per resident
0.43 hrs/day
NC average
0.61 hrs/day
Below state average
Staff turnover
73.5%
NC average
49.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the North Carolina average of 2.9/5.
Its 2/5 health inspection rating is below the North Carolina average of 2.9/5.
Reported nursing time is 3.11 hours per resident per day, below the state average of 3.82.
Reported RN time is 0.43 hours per resident per day, below the state average of 0.61.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
32
deficiency citations
Inspected Dec 6, 2024
Most recent cycle
9
deficiency citations
Inspected Feb 20, 2026
The most recent cycle recorded 23 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Henderson County 65+
30,397
26.1% of county
County Population
116,469
Henderson County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Orchard Valley Health and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Hendersonville, North Carolina with 134 certified beds. It has been operating since 1988. Its overall CMS rating is 1 out of 5.

Beds
134
Avg Residents/Day
101
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 30, 1988
Sprinklers
Yes
Council
Resident
County
Henderson
Last Inspection
Feb 20, 2026
Deficiencies (Cycle 1)
9
Weighted Score
75.0
Infection Citations
0

Deficiency Citations (46)

F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0646Potential for Harm

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 24, 2025Corrected: NoCycle: 1
F0807Potential for Harm

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey: Jul 24, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Dec 6, 2024Corrected: NoCycle: 2

+ 16 more deficiencies

Total Fines
$16,452
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 21, 2024
$16,452

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.09 hrs
National avg: 2.32 hrs
LPN0.59 hrs
National avg: 0.86 hrs
RN0.43 hrs
National avg: 0.69 hrs
Total Nursing3.11 hrs
National avg: 3.86 hrs
Weekend Total2.80 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
73.5%
RN Turnover
71.4%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
FRIEDMAN, YISROELCORPORATE DIRECTORIndividualN/AJan 1, 2024
FORD, ALBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
HARDIN, STEVEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
FORD, ALBERTADP OF THE SNFIndividualN/AMar 6, 2025
HARDIN, STEVEADP OF THE SNFIndividualN/AMar 6, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Orchard Valley Health and Rehabilitation and nearby alternatives.

All North Carolina facilities
Orchard Valley Health and Rehabilitation
Hendersonville, NCCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $16,452
The Laurels of Hendersonville
Hendersonville, NC2.4 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: $36,257
The Greens at Hendersonville
Hendersonville, NC2.8 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $106,208
Life Care Center of Hendersonville
Hendersonville, NC3.0 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $40,986
Carolina Village Inc
Hendersonville, NC3.0 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Valley Hill Health & Rehab Center
Hendersonville, NC4.1 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $58,949
Fletcher Rehabilitation and Healthcare Center
Fletcher, NC5.3 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $62,868
FacilityDistanceCMSHealthStaffingRecorded fines
Orchard Valley Health and Rehabilitation
Hendersonville, NC · Current facility
—1/52/51/5$16,452
The Laurels of Hendersonville
Hendersonville, NC
2.4 mi3/52/53/5$36,257
The Greens at Hendersonville
Hendersonville, NC
2.8 mi3/53/53/5$106,208
Life Care Center of Hendersonville
Hendersonville, NC
3.0 mi3/52/52/5$40,986
Carolina Village Inc
Hendersonville, NC
3.0 mi5/55/55/5None recorded
Valley Hill Health & Rehab Center
Hendersonville, NC
4.1 mi2/52/52/5$58,949
Fletcher Rehabilitation and Healthcare Center
Fletcher, NC
5.3 mi1/51/51/5$62,868

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Orchard Valley Health and Rehabilitation?▾
Orchard Valley Health and Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Orchard Valley Health and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Orchard Valley Health and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Orchard Valley Health and Rehabilitation had any health inspection violations?▾
Orchard Valley Health and Rehabilitation had 9 deficiency citations in its most recent health inspection (Feb 20, 2026). The current CMS dataset records 1 fine(s) totaling $16,452.
What are the staffing levels at Orchard Valley Health and Rehabilitation?▾
Orchard Valley Health and Rehabilitation provides 3.11 total nursing staff hours per resident per day, including 0.43 RN hours, 0.59 LPN hours, and 2.09 nurse aide hours. The total staff turnover rate is 73.5%.
How many beds does Orchard Valley Health and Rehabilitation have?▾
Orchard Valley Health and Rehabilitation has 134 certified beds with an average of 101 residents per day, resulting in approximately 75% occupancy. The facility is For profit - Corporation owned and is part of the Ascent Healthcare Management chain.
Are there other nursing homes near Orchard Valley Health and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 5 in Hendersonville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Orchard Valley Health and Rehabilitation?▾
On Google Maps, Orchard Valley Health and Rehabilitation has a rating of 3.9 out of 5 based on 19 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Ascent Healthcare Management

This chain operates 6 facilities. View all →