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Data / Nursing homes / North Carolina / Orchard Valley Health and Rehabilitation

Orchard Valley Health and Rehabilitation, Hendersonville, NC: 1 star rating, fined $16,452 across 1 fine

Orchard Valley Health and Rehabilitation in Hendersonville, NC is run by Hendersonville NC OPCO LLC, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $16,452 across 1 fine in the three years to October 1, 2026. CMS lists 46 health citations from inspections in that time, the latest survey on February 20, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in North Carolina
Address
200 Heritage Circle, Hendersonville, NC 28791
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
134
Residents per day
100 on average
Ownership type
For profit, corporation
Legal business name
Hendersonville NC OPCO LLC
Chain
Ascent Healthcare Management, 6 facilities
Fines
$16,452 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
46, of which 1 with actual harm or immediate jeopardy
Latest survey
February 20, 2026
CMS Certification Number
345285
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 21, 2024Fine$16,452Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 20, 2026F700Try 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: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 20, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 20, 2026F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 20, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 20, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 20, 2026F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 20, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
July 24, 2025F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2025data.cms.gov
July 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2025data.cms.gov
December 6, 2024F914Provide bedrooms that don't allow residents to see each other when privacy is needed.B: pattern, minimal harm potentialPlan of correctionJanuary 3, 2025data.cms.gov
December 6, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F808Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F803Ensure 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: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F680Ensure the activities program is directed by a qualified professional.C: widespread, minimal harm potentialCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F660Plan the resident's discharge to meet the resident's goals and needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B: pattern, minimal harm potentialPlan of correctionJanuary 3, 2025data.cms.gov
December 6, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 6, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
June 21, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceJune 13, 2024data.cms.gov
June 21, 2024F850Hire a qualified full-time social worker in a facility with more than 120 beds.C: widespread, minimal harm potentialPlan of correctionJuly 9, 2024data.cms.gov
June 21, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJune 13, 2024data.cms.gov
October 13, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F791Provide or obtain dental services for each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F687Provide appropriate foot care.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 13, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (2 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.