Nursing home
Orchard Valley Health and Rehabilitation
200 Heritage Circle, Hendersonville, NC 28791 · Map
For profit - Limited Liability company · Part of Ascent Healthcare Management (6 facilities) · 134 certified beds
Orchard Valley Health and Rehabilitation is a Medicare-certified nursing home in Hendersonville, North Carolina. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.14 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Dec 6, 2024 cited 28 deficiencies.
- 1 fine totaling $16,452In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Orchard Valley Health and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.14 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.52 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.00 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | —% | 50.4% | 46.4% | — |
| Deficiencies cited, last inspection | 28.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 20, 2026 inspection was corrected by March 16, 2026
Penalties in CMS records: 1 fine totaling $16,452, 1 total penalty.
What inspectors found at Orchard Valley Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential 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.
Quality of Life and Care Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential 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.
Resident Assessment and Care Planning Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential 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.
Nutrition and Dietary Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Dec 6, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 200 Heritage Circle
Hendersonville, NC 28791 - CMS certification #
- 345285
- Ownership
- For profit - Limited Liability company
- Certified beds
- 134
- Avg residents/day
- 94.4
- Provider type
- Medicare and Medicaid
- First certified
- 1988-06-30
- Chain
- Ascent Healthcare Management (6 facilities)
- Setting
- Urban
Part of Ascent Healthcare Management
Ascent Healthcare Management operates 6 nursing facilities across the United States. View all Ascent Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Orchard Valley Health and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Adventhealth Hendersonville, Hendersonville. 1.8 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- The Laurels of Hendersonville, Hendersonville. 2.4 miles away, straight line.
- Nearest home health agency office
- Adventhealth Home Health, Fletcher. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 3.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28791 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Hendersonville Dialysis Center, Hendersonville, 3.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Arden Dialysis Center, Arden, 5.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 28791.
Four Seasons The Care You Trust, office in Flat Rock, 6.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of The Carolina Foothills, office in Saluda, 12.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Carepartners Home Care & Hospice, office in Brevard, 14.6 miles away, straight line - Nearest geriatric medicine practice
- Memorycare, Asheville. 9.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Orchard Valley Health and Rehabilitation a good nursing home?
CMS gives Orchard Valley Health and Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Orchard Valley Health and Rehabilitation staffed?
Orchard Valley Health and Rehabilitation reports 3.14 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Orchard Valley Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 28 deficiencies.
How many beds does Orchard Valley Health and Rehabilitation have?
Orchard Valley Health and Rehabilitation is certified for 134 beds.