Orchard Valley Health and Rehabilitation
200 Heritage Circle · Hendersonville, NC · 28791 · 8286935849
134 certified beds For profit - Corporation Chain: Ascent Healthcare Management
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $16,452 |
Inspection citations (46 in the current record)
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Potential for harm · D February 20, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2026
Ensure each resident receives an accurate assessment.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2026
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 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.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · D February 20, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 16, 2026 · Resident Rights
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Potential for harm · D February 20, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · D July 24, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected August 13, 2025 · Nutrition and Dietary
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Potential for harm · D December 6, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · E December 6, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · E December 6, 2024
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected January 3, 2025 · Nursing and Physician Services
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Potential for harm · D December 6, 2024
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.
Corrected January 3, 2025 · Nutrition and Dietary
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Potential for harm · D December 6, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · D December 6, 2024 · found via complaint
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.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · D December 6, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · E December 6, 2024 · found via complaint
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.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · D December 6, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 6, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 6, 2024 · found via complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · D December 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · D December 6, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 3, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2024 | Fine | $16,452 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345285 · certified since June 30, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.