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UPDATED JUL 2026

Nursing Homes · Medicare certified

Orchard Valley Health And Rehabilitation

200 Heritage Circle · Hendersonville, NC 28791 · 134 certified beds

8286935849

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

1.0

Inspections on record

2

Cited deficiencies

41

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Inspection history (46)

  • February 20, 2026 · D

    Citation F0558

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • February 20, 2026 · D

    Citation F0638

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0638 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • February 20, 2026 · D

    Citation F0700

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • February 20, 2026 · D

    Citation F0692

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • February 20, 2026 · D

    Citation F0644

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • February 20, 2026 · D

    Citation F0646

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0646 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • February 20, 2026 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2026-02-20 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2026-03-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-20.GOV
  • July 24, 2025 · D

    Citation F0657

    Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-08-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV
  • July 24, 2025 · D

    Citation F0807

    Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0807 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. The deficiency was recorded as corrected on 2025-08-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV
  • December 6, 2024 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · B

    Citation F0914

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0914 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide bedrooms that don't allow residents to see each other when privacy is needed. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · B

    Citation F0640

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0640 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · C

    Citation F0680

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0680 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Ensure the activities program is directed by a qualified professional. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · E

    Citation F0638

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0638 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · D

    Citation F0578

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · E

    Citation F0636

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0636 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · D

    Citation F0553

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV
  • December 6, 2024 · D

    Citation F0644

    Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2025-01-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOV

Penalties

Total fines on file: $16,452

Staffing

Latest: 3.12 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.12 hrs/resident/day
  2. 2026-06-013.12 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Corporation

CMS Care Compare chain: Ascent Healthcare Management

Chain ID 799 · 6 facilities in chain (CMS)

  • Chain average overall rating: 2.3
  • Chain average health inspection rating: 2.7
  • Chain average staffing rating: 2
  • Chain average quality measure rating: 2

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Pisgah Holdco LLC

    parent · PAC 6800234352

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical NC range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · NC$8,731/mo
See full NC cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · NC$9,733/mo
See full NC cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Hendersonville, with their own public records.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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