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
1 of 5 overall
Orchard Valley Health and Rehabilitation in Hendersonville, NC has a 1-star overall rating, with 1-star staffing and quality measures and 2-star health inspections. It reports 3.12 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $16,452 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1225 hrs/resident/day
Quality measures
Last inspection: February 20, 2026Penalties, last 24 months: $16,452recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1225.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.09
- Weekend nursing
- 2.86
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30%Worsening
Residents with a fall causing major injury
2.8%Improving
Residents with pressure ulcers (bedsores)
8%Improving
Residents with a urinary tract infection
2.8%Steady
Residents who lost too much weight
8.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.6%Improving
Residents whose ability to walk got worse
6.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
36.3%Worsening
Short-stay residents newly given an antipsychotic
3.5%Improving
Residents with a long-term catheter
0.9%Steady
Residents with new or worsening incontinence
25.9%Improving
Residents with depressive symptoms
5.3%Worsening
Long-stay residents given the seasonal flu vaccine
98%Steady
Long-stay residents given the pneumonia vaccine
96.6%Worsening
Short-stay residents given the seasonal flu vaccine
71.3%Steady
Short-stay residents given the pneumonia vaccine
61%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
- Ownership
- For profit - Corporation
- Chain
- Part of ASCENT HEALTHCARE MANAGEMENT · 6 homes · 2.3 stars avg
- Occupancy
- 101.1 residents on an average day (75% of 134 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.