Nursing homes › North Carolina › Orchard Valley Health and Rehabilitation
200 Heritage Circle, Hendersonville, NC 28791 · 8286935849 · 134 certified beds
Per CMS filings, this facility is affiliated with Ascent Healthcare Management, a group operating 6 facilities in 1 states. Group record: average rating 2.3/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $232,066 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.11 (North Carolina median: 3.53). RN hours: 0.43. Weekend total: 2.80. Nursing staff turnover: 74%.
All-time on record: 46 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-20 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2026-03-16 |
| 2026-02-20 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-03-16 |
| 2026-02-20 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2026-03-16 |
| 2026-02-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-03-16 |
| 2026-02-20 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2026-03-16 |
| 2026-02-20 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-03-16 |
| 2026-02-20 | 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 | Health | corrected 2026-03-16 |
| 2025-07-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-08-13 |
| 2025-07-24 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | complaint | corrected 2025-08-13 |
| 2024-12-06 | 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. | F | complaint | corrected 2025-01-03 |
| 2024-12-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-01-03 |
| 2024-12-06 | 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. | E | complaint | corrected 2025-01-03 |
| 2024-12-06 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2025-01-03 |
| 2024-12-06 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | complaint | corrected 2025-01-03 |
| 2024-12-06 | Assure that each resident’s assessment is updated at least once every 3 months. | E | complaint | corrected 2025-01-03 |
| 2024-12-06 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Health | corrected 2025-01-03 |
| 2024-12-06 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2025-01-03 |
| 2024-12-06 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | 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. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | 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. | D | Health | corrected 2025-01-03 |
| 2024-12-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-01-03 |
| 2024-12-06 | Ensure the activities program is directed by a qualified professional. | C | Health | corrected 2025-01-03 |
| 2024-12-06 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | complaint | corrected 2025-01-03 |
| 2024-12-06 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | B | complaint | corrected 2025-01-03 |
| 2024-06-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-06-13 |
| 2024-06-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-06-13 |
| 2024-06-21 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C | complaint | corrected 2024-07-09 |
| 2023-10-13 | Provide appropriate foot care. | E | Health | corrected 2023-11-03 |
| 2023-10-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2023-11-03 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-21 | Fine | $16,452 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRIEDMAN, YISROEL | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| FORD, ALBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| HARDIN, STEVE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345285. Corrections: data@carerecords.org.