Orchard Valley Health and Rehabilitation

200 Heritage Circle, Hendersonville, NC 28791 · (828) 693-5849
For profit - Corporation · 134 certified beds

Orchard Valley Health and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 7 citations (the North Carolina average is 4.7). It was fined 1 time in the last three years, $16,452 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on February 20, 2026 found 7 citations. What an inspection citation means

• Ensure each resident receives an accurate assessment.February 20, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.February 20, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assure that each resident’s assessment is updated at least once every 3 months.February 20, 2026 · F0638 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 20, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.February 20, 2026 · F0646 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.February 20, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 20, 2026 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 31 citations.

• Reasonably accommodate the needs and preferences of each resident.February 20, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.February 20, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 24, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.July 24, 2025 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.December 6, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 6, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 6, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 6, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.December 6, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.December 6, 2024 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Assure that each resident’s assessment is updated at least once every 3 months.December 6, 2024 · F0638 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.December 6, 2024 · F0640 · Level of harm: Potential for minimal harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.December 6, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Plan the resident's discharge to meet the resident's goals and needs.December 6, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 6, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 6, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 6, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 6, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.December 6, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.December 6, 2024 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 6, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.December 6, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 6, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 6, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide bedrooms that don't allow residents to see each other when privacy is needed.December 6, 2024 · F0914 · Level of harm: Potential for minimal harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 21, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 21, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Hire a qualified full-time social worker in a facility with more than 120 beds.June 21, 2024 · F0850 · Level of harm: Potential for minimal harm · Residents affected: Many
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 13, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 13, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.October 13, 2023 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $16,452June 21, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home