The Village at Orchard Ridge
100 Procession Way, Winchester, VA 22603 · Frederick County · 20 certified beds · avg 18 residents/day · certified since Jul 31, 2014
Part of chain: NATIONAL LUTHERAN COMMUNITIES & SERVICES (2 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
All citations in the current public record (4)
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 |
|---|---|---|
| Mar 6, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 6, 2024 | 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. |
| Mar 6, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.10 | 3.67 | 3.95 | top 12% in Virginia; top 12% in the U.S. |
| Registered Nurse hours | 1.52 | 0.66 | 0.69 | top 4% in Virginia; top 4% in the U.S. |
| Weekend total nurse staffing | 4.87 | 3.21 | 3.50 | top 9% in Virginia; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.24 | 0.46 | 0.48 | top 3% in Virginia; top 3% in the U.S. |
| Total nursing staff turnover (%) | 39.1 | 48.1 | 45.8 | top 28% in Virginia; top 34% in the U.S. |
| RN turnover (%) | 20.0 | 48.2 | 42.9 | top 7% in Virginia; top 13% 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 5.04, RN 1.50, weekend 4.82. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| National Lutheran INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/20/2011 |
| Ault, Jared | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/23/2017 |
| Ault, Jared | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2017 |
| Blakemore, Victoria | Individual | Corporate Director | NOT APPLICABLE | 12/19/2021 |
| Blakemore, Victoria | Individual | ADP of the SNF | NOT APPLICABLE | 12/19/2021 |
| Casner, Donna | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2018 |
| Casner, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 06/25/2018 |
| Combs, Allison | Individual | Corporate Director | NOT APPLICABLE | 12/19/2021 |
| Combs, Allison | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/19/2021 |
| Combs, Allison | Individual | ADP of the SNF | NOT APPLICABLE | 12/19/2021 |
| Coulter, Bonnie | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2024 |
| Coulter, Bonnie | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2024 |
| Cruz, Medardo | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Cruz, Medardo | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Custer, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Custer, William | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Gwinn, Lauren | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2022 |
| Gwinn, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2022 |
| Hearn, Garri Ann | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2018 |
| Hearn, Garri Ann | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Shenandoah Valley Westminster Canterbury | 1.9 mi | Winchester, VA | ★★★★☆ | 3/5 | |
| Winchester Health & Rehabilitation | 2.4 mi | Winchester, VA | ★☆☆☆☆ | 1/5 | |
| Evergreen Health and Rehabilitation Center | 3.3 mi | Winchester, VA | ★★☆☆☆ | 2/5 | |
| Rose Hill Health and Rehab | 12.9 mi | Berryville, VA | ★☆☆☆☆ | 2/5 | |
| Heritage Hall Front Royal | 17.5 mi | Front Royal, VA | ★★★★★ | 5/5 | |
| Lynn Care Center | 18.7 mi | Front Royal, VA | ★★☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 495415.