Orchard Valley Health and Rehabilitation

Name: Orchard Valley Health and Rehabilitation
Address: 200 Heritage Circle, Hendersonville, NC, 28791, US
Telephone: 8286935849

200 Heritage Circle, Hendersonville, NC 28791 · Henderson County · 134 certified beds · avg 101 residents/day · certified since Jun 30, 1988

Part of chain: ASCENT HEALTHCARE MANAGEMENT (6 facilities, chain avg rating 2.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$16,452

Fines, last 3 years

3.43

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jun 21, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jun 13, 2024 (Past Non-Compliance)

All citations in the current public record (46)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 20, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 20, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Feb 20, 2026	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Feb 20, 2026	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 20, 2026	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Feb 20, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Feb 20, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 24, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Jul 24, 2025	D · Potential for harm, one-off	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint
Dec 6, 2024	F · Potential for harm, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Dec 6, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Dec 6, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 6, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Dec 6, 2024	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Dec 6, 2024	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint
Dec 6, 2024	E · Potential for harm, repeated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Dec 6, 2024	C · Minimal risk, facility-wide	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Dec 6, 2024	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint
Dec 6, 2024	B · Minimal risk, repeated	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · from a complaint
Jun 21, 2024	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jun 21, 2024	C · Minimal risk, facility-wide	The facility has more than 120 beds but did not hire a qualified full-time social worker as required. · from a complaint
Oct 13, 2023	E · Potential for harm, repeated	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Oct 13, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 13, 2023	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Oct 13, 2023	E · Potential for harm, repeated	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Oct 13, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 13, 2023	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Oct 13, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Oct 13, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (26 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	29	1	J ▲
2025	2	0	D
2026	7	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $16,452.

Date	Type	Amount / length
Jun 21, 2024	Fine	$16,452

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.43	4.01	3.95	bottom 32% in North Carolina; bottom 33% in the U.S.
Registered Nurse hours	0.48	0.64	0.69	bottom 40% in North Carolina; bottom 34% in the U.S.
Weekend total nurse staffing	3.08	3.56	3.50	bottom 35% in North Carolina; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.41	0.48	bottom 28% in North Carolina; bottom 18% in the U.S.
Total nursing staff turnover (%)	73.5	49.0	45.8	bottom 5% in North Carolina; bottom 4% in the U.S.
RN turnover (%)	71.4	45.7	42.9	bottom 14% in North Carolina; bottom 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.11, RN 0.43, weekend 2.80. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ford, Albert	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Ford, Albert	Individual	ADP of the SNF	NOT APPLICABLE	03/06/2025
Friedman, Yisroel	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Hardin, Steve	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Hardin, Steve	Individual	ADP of the SNF	NOT APPLICABLE	03/06/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you track that every resident's quarterly assessment happens on time?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Laurels of Hendersonville	2.4 mi	Hendersonville, NC	★★★☆☆	2/5
The Greens at Hendersonville	2.8 mi	Hendersonville, NC	★★★☆☆	3/5
Life Care Center of Hendersonville	3.0 mi	Hendersonville, NC	★★★☆☆	2/5
Carolina Village INC	3.0 mi	Hendersonville, NC	★★★★★	5/5
Valley Hill Health & Rehab Center	4.1 mi	Hendersonville, NC	★★☆☆☆	2/5
Fletcher Rehabilitation and Healthcare Center	5.3 mi	Fletcher, NC	★☆☆☆☆	1/5	abuse
Hendersonville Health and Rehabilitation	6.0 mi	Flat Rock, NC	★★★★★	5/5
The Lodge at Mills River	6.3 mi	Mills River, NC	★★★★★	5/5
Biltmore Haven Nursing and Rehabilitation	7.3 mi	Arden, NC	★☆☆☆☆	1/5	SFF
Givens Health Center	9.7 mi	Asheville, NC	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Hendersonville →

Facility data as of CMS processing date 2026-08-01. CCN 345285.

The Care File

Visit checklist — Orchard Valley Health and Rehabilitation

200 Heritage Circle, Hendersonville, NC 28791 · 8286935849

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $16,452

Most serious findings on record:

▲ Jun 21, 2024 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345285 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)