Orchard Valley Health and Rehabilitation
Orchard Valley Health and Rehabilitation is a 134-bed nursing home in Hendersonville, North Carolina. CMS has certified it for Medicare and Medicaid since 1988-06-30. It averages 101.0 residents a day.
What harm was found in the violations cited at Orchard Valley Health and Rehabilitation?
CMS lists 46 health-inspection deficiencies for Orchard Valley Health and Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-20 | F0641 | Ensure each resident receives an accurate assessment. | E |
| 2026-02-20 | F0558, F0638, F0644, F0646, F0692, F0700 | Reasonably accommodate the needs and preferences of each resident. / Assure that each resident’s assessment is updated at least once every 3 months. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / Provide enough food/fluids to maintain a resident's health. / 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. | D |
| 2025-07-24 | F0657, F0807 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D |
| 2024-12-06 | F0803, F0812 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-12-06 | F0584, F0623, F0636, F0638, F0712 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E |
| 2024-12-06 | F0553, F0558, F0578, F0580, F0607, F0644, F0660, F0684, F0689, F0690, F0755, F0760, F0770, F0806, F0808, F0842 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-12-06 | F0680 | Ensure the activities program is directed by a qualified professional. | C |
| 2024-12-06 | F0640, F0914 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide bedrooms that don't allow residents to see each other when privacy is needed. | B |
| 2024-06-21 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2024-06-21 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2024-06-21 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C |
| 2023-10-13 | F0687, F0755, F0760, F0791, F0812, F0867 | Provide appropriate foot care. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2023-10-13 | F0677, F0761 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
Why was Orchard Valley Health and Rehabilitation fined?
| Date | Type | Amount |
|---|---|---|
| 2024-06-21 | Fine | $16,452 |
How is Orchard Valley Health and Rehabilitation staffed relative to the NC average?
| Measure | This facility | NC average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.10931 | 3.83430 |
| Total nursing staff turnover (%) | 73.5 | 49.0 |
| Average number of residents per day | 101.0 | 86.9 |
Who owns Orchard Valley Health and Rehabilitation, and what chain is it in?
Orchard Valley Health and Rehabilitation is registered with CMS as For profit - Corporation, operates under the legal business name HENDERSONVILLE NC OPCO LLC and belongs to the ASCENT HEALTHCARE MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | FRIEDMAN, YISROEL | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | FORD, ALBERT, HARDIN, STEVE | since 01/01/2025 |
| ADP OF THE SNF | FORD, ALBERT, HARDIN, STEVE | since 03/06/2025 |
Were you or a family member harmed at Orchard Valley Health and Rehabilitation?