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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaOrchard Valley Health and Rehabilitation

Orchard Valley Health and Rehabilitation

200 Heritage Circle, Hendersonville, NC 287918286935849
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
1/5
Beds
134
certified
1 fine(s) totaling $16,452

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 134 certified beds with an average of 94.4 residents per day (70% occupancy)

• Last health inspection found 28 deficiencies (inspected Dec 6, 2024)

• Has been fined a total of $16,452 across 1 fine(s)

• Total nursing staff: 3.14 hours per resident per day

• Part of the Ascent Healthcare Management chain (6 facilities)

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. The facility scored below average compared to North Carolina facilities.

Beds
134
Avg Residents/Day
94.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 30, 1988
Sprinklers
Yes
Council
Resident
County
Henderson
Last Inspection
Dec 6, 2024
Deficiencies (Cycle 1)
28
Weighted Score
128.0
Infection Citations
0

Deficiency Citations (50)

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
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: 1
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: 1
F0680Minimal Harm

Ensure the activities program is directed by a qualified professional.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0712Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0808Potential for Harm

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.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 6, 2024Corrected: NoCycle: 1
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: 1
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: 1
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: 1
F0607Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
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: 1
F0638Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0640Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Dec 6, 2024Corrected: NoCycle: 1
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: 1
F0660Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
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: 1
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: 1
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: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0770Potential for Harm

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

Survey: Dec 6, 2024Corrected: 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: 1
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: 1
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: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0914Minimal Harm

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0607Potential for Harm

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

Survey: Jun 21, 2024Corrected: NoCycle: 2

+ 20 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 Aide2.00 hrs
National avg: 2.35 hrs
LPN0.61 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.68 hrs
Total Nursing3.14 hrs
National avg: 3.89 hrs
Weekend Total3.00 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
PISGAH HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2024
FRIEDMAN, YISROEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual100%Jan 1, 2024
FORD, ALBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
HARDIN, STEVEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
FRIEDMAN, YISROELCORPORATE DIRECTORIndividualN/AJan 1, 2024

Nearby Nursing Homes

All North Carolina facilities

The Laurels of Hendersonville

Hendersonville, NC · 100 beds

For profit$36,257 in fines
Health
Staffing
Quality
2.4 mi

The Greens at Hendersonville

Hendersonville, NC · 120 beds

For profit$106,208 in fines
Health
Staffing
Quality
2.8 mi

Life Care Center of Hendersonville

Hendersonville, NC · 80 beds

For profit$40,986 in fines
Health
Staffing
Quality
3.0 mi

Carolina Village Inc

Hendersonville, NC · 58 beds

Non profit
Health
Staffing
Quality
3.0 mi

Valley Hill Health & Rehab Center

Hendersonville, NC · 150 beds

For profit$58,949 in fines
Health
Staffing
Quality
4.1 mi

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 1/5, staffing rating of 2/5, and quality measures rating of 1/5. This facility is rated below average.
Has Orchard Valley Health and Rehabilitation had any health inspection violations?▾
Orchard Valley Health and Rehabilitation had 28 deficiency citations in its most recent health inspection (Dec 6, 2024). The facility has been fined a total of $16,452 across 1 fine(s).
What are the staffing levels at Orchard Valley Health and Rehabilitation?▾
Orchard Valley Health and Rehabilitation provides 3.14 total nursing staff hours per resident per day, including 0.52 RN hours, 0.61 LPN hours, and 2.00 nurse aide hours.
How many beds does Orchard Valley Health and Rehabilitation have?▾
Orchard Valley Health and Rehabilitation has 134 certified beds with an average of 94.4 residents per day, resulting in approximately 70% occupancy. The facility is For profit - Limited Liability company owned and is part of the Ascent Healthcare Management chain.
Are there other nursing homes near Orchard Valley Health and Rehabilitation?▾
Yes, there are 5 other nursing homes in Hendersonville, North Carolina with an average rating of 2.7/5. You can compare all facilities on the Hendersonville nursing homes page.

Part of Ascent Healthcare Management

This chain operates 6 facilities. View all →