The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Orchard Valley Health and Rehabilitation
Hendersonville, NC · Medicare-certified · 134 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Orchard Valley Health and Rehabilitation has a 1-star overall rating, with 1-star staffing and quality measures and a 2-star health inspection rating. It reports 3.11 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, $0 in fines in the last 24 months, and an attention flag for the lowest overall rating.
Facility ratings
Health inspections
Staffing
3.1093 hrs/resident/day
Quality measures
Last inspection: February 20, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1093.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.59
- Nurse aides
- 2.09
- Weekend nursing
- 2.80
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
32.7%33.3%Worsening
Residents with a fall causing major injury
3.5%2.2%Improving
Residents with pressure ulcers (bedsores)
8.2%5.9%Improving
Residents with a urinary tract infection
1.2%1.1%No change
Residents who lost too much weight
6.4%7.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.8%3.9%Worsening
Residents whose ability to walk got worse
0%11.3%Worsening
Long-stay residents on antianxiety or sleep medication
37.2%37.3%No change
Short-stay residents newly given an antipsychotic
3.3%8.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.3%22.9%Improving
Residents with depressive symptoms
1.3%4.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
100%93.3%Worsening
Short-stay residents given the seasonal flu vaccine
—71.3%—
Short-stay residents given the pneumonia vaccine
68.7%45.1%Worsening
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to update each resident’s assessment at least every three months. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 26 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,452 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $16,452 in total fines.
- $16,452
Federal fine
Jun 21, 2024
Operator & ownership
Recent ownership change · Jan 1, 2024
Now operated by Hendersonville Nc Opco LLC, previously Accordius Health at Hendersonville LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of ASCENT HEALTHCARE MANAGEMENT · 6 homes · 2.3 stars avg
- Occupancy
- 101 residents on an average day (75% of 134 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.