Orchard Valley Health and Rehabilitation

200 Heritage Circle, Hendersonville, NC 28791 · CCN 345285 · 134 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-06-21 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.73

state median 3.11

Weekend staffing gap

−4%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.28

registered nurses only

Contract (agency) staff

51%

share of all nursing hours

Days with zero RN hours reported

2

with residents present

Nursing staff turnover

74%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $16,452 in fines.

DateTypeAmount
2024-06-21Fine$16,452

Ownership

Ownership type: For profit - Corporation. Part of the ASCENT HEALTHCARE MANAGEMENT chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 4 · Potential for more than minimal harm: 41 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-02-20F0558Resident Rights DeficienciesDnot recorded
2026-02-20F0638Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-20F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2026-02-20F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-20F0646Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-20F0692Quality of Life and Care DeficienciesDnot recorded
2026-02-20F0700Quality of Life and Care DeficienciesDnot recorded
2025-07-24F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-24F0807Nutrition and Dietary DeficienciesDnot recorded
2024-12-06F0553Resident Rights DeficienciesDnot recorded
2024-12-06F0558Resident Rights DeficienciesDnot recorded
2024-12-06F0578Resident Rights DeficienciesDnot recorded
2024-12-06F0580Resident Rights DeficienciesDnot recorded
2024-12-06F0584Resident Rights DeficienciesEnot recorded
2024-12-06F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-12-06F0623Resident Rights DeficienciesEnot recorded
2024-12-06F0636Resident Assessment and Care Planning DeficienciesEnot recorded
2024-12-06F0638Resident Assessment and Care Planning DeficienciesEnot recorded
2024-12-06F0640Resident Assessment and Care Planning DeficienciesBnot recorded
2024-12-06F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-06F0660Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-06F0680Quality of Life and Care DeficienciesCnot recorded
2024-12-06F0684Quality of Life and Care DeficienciesDnot recorded
2024-12-06F0689Quality of Life and Care DeficienciesDnot recorded
2024-12-06F0690Quality of Life and Care DeficienciesDnot recorded
2024-12-06F0712Nursing and Physician Services DeficienciesEnot recorded
2024-12-06F0755Pharmacy Service DeficienciesDnot recorded
2024-12-06F0760Pharmacy Service DeficienciesDnot recorded
2024-12-06F0770Administration DeficienciesDnot recorded
2024-12-06F0803Nutrition and Dietary DeficienciesFnot recorded
2024-12-06F0806Nutrition and Dietary DeficienciesDnot recorded
2024-12-06F0808Nutrition and Dietary DeficienciesDnot recorded
2024-12-06F0812Nutrition and Dietary DeficienciesFnot recorded
2024-12-06F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-06F0914Environmental DeficienciesBnot recorded
2024-06-21F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-06-21F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-06-21F0850Administration DeficienciesCnot recorded
2023-10-13F0677Quality of Life and Care DeficienciesDnot recorded
2023-10-13F0687Quality of Life and Care DeficienciesEnot recorded
2023-10-13F0755Pharmacy Service DeficienciesEnot recorded
2023-10-13F0760Pharmacy Service DeficienciesEnot recorded
2023-10-13F0761Pharmacy Service DeficienciesDnot recorded
2023-10-13F0791Quality of Life and Care DeficienciesEnot recorded
2023-10-13F0812Nutrition and Dietary DeficienciesEnot recorded
2023-10-13F0867Administration DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Orchard Valley Health and Rehabilitation, Hendersonville” at medicare.gov/care-compare.