Senior Care Records.

Orchard Valley Health and Rehabilitation

200 Heritage Circle, Hendersonville, NC, 28791

Nursing home134 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 9 deficiencies against Orchard Valley Health and Rehabilitation in Hendersonville, North Carolina at its most recent standard inspection on 2026-02-20, 4 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $16,452. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
134certified beds
9deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $16,452
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.41
Potential for minimal harmThe least serious band.4
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2026-02-20 · from a complaint · No actual harm, potential for more than minimal harm

D

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies · F0638 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · F0644 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

D

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Resident Assessment and Care Planning Deficiencies · F0646 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

D

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · F0692 · 2026-02-20 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0700 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0657 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0807 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0803 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

F

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.

Resident Rights Deficiencies · F0584 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

E

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · F0623 · 2024-12-06 · standard survey · No actual harm, potential for more than minimal harm

E

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies · F0636 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

E

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies · F0638 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Nursing and Physician Services Deficiencies · F0712 · 2024-12-06 · standard survey · No actual harm, potential for more than minimal harm

E

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Resident Rights Deficiencies · F0553 · 2024-12-06 · standard survey · No actual harm, potential for more than minimal harm

D

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0578 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · F0580 · 2024-12-06 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home1 of 5
Nurse hours per resident per dayReported by the home to CMS3.10931
Nursing staff turnoverShare of nursing staff who left in a year73.5%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$16,452
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Orchard Valley Health and Rehabilitation

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
FRIEDMAN, YISROELIndividualNOT APPLICABLEsince 01/01/2024
FORD, ALBERTIndividualNOT APPLICABLEsince 01/01/2025
HARDIN, STEVEIndividualNOT APPLICABLEsince 01/01/2025
FORD, ALBERTIndividualNOT APPLICABLEsince 03/06/2025
HARDIN, STEVEIndividualNOT APPLICABLEsince 03/06/2025

Part of the ASCENT HEALTHCARE MANAGEMENT group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Orchard Valley Health and Rehabilitation a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Orchard Valley Health and Rehabilitation has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 8286935849 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345285.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction