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Nursing homeFAID #9052

Orchard Valley Health and Rehabilitation

200 HERITAGE CIRCLE, HENDERSONVILLE, NC, 28791
(828) 693-5849
orchardvalleynhr.com
134 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
134
CMS facility ID
345285
Care type
Nursing home
County
Henderson
Facility name
Orchard Valley Health and Rehabilitation
Street address
200 HERITAGE CIRCLE
City / state / ZIP
Hendersonville, NC 28791
Phone
(828) 693-5849
Website
orchardvalleynhr.com

About this facility — Orchard Valley Health and Rehabilitation

Orchard Valley Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Hendersonville, North Carolina. It is licensed for 134 beds — above the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 52 senior care facilities in Hendersonville and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Orchard Valley Health and Rehabilitation 75 times across 11 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $16,452 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Ascent Healthcare Management
Ownership type
For profit - Corporation

Registered owners & officers

Ford, Albert
Operational control · Additional disclosable party — since 2025
Friedman, Yisroel
Director — since 2024
Hardin, Steve
Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
1988-06-30
CMS overall rating
1 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$16,452 total
Last standard inspection
2026-02-20
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$323 per day (≈ $9,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
86% Medicaid · 3% Medicare · 11% private/other
Occupancy
72% (fiscal year 2023)
Vs. state median
13% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
134
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-20Health inspectionComplaint-triggered7 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-16
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2026-03-16
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-03-16
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-03-16
F-0646
D · No harm found
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2026-03-16
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-03-16
F-0700
D · No harm found
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.
Corrected 2026-03-16
2025-07-24Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-13
F-0807
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-08-13
6 earlier / fire-safety inspections (66 citations)
2024-12-06Health inspectionComplaint-triggered26 citations
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-01-03
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-03
F-0578
D · No harm foundFrom a complaint
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.
Corrected 2025-01-03
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-03
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2025-01-03
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-03
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-03
F-0636
E · No harm foundFrom a complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-01-03
F-0638
E · No harm foundFrom a complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-01-03
F-0640
B · No harm foundFrom a complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-01-03
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-01-03
F-0660
D · No harm foundFrom a complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-01-03
F-0680
C · No harm found
Ensure the activities program is directed by a qualified professional.
Corrected 2025-01-03
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-03
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-03
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-01-03
F-0712
E · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-01-03
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-03
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-01-03
F-0770
D · No harm foundFrom a complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-01-03
F-0803
F · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-01-03
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-01-03
F-0808
D · No harm foundFood safety
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.
Corrected 2025-01-03
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-03
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-03
F-0914
B · No harm foundFrom a complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2025-01-03
2024-06-21Health inspectionComplaint-triggered3 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-13
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-13
F-0850
C · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2024-07-09
2023-10-13Health inspectionComplaint-triggered8 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-03
F-0687
E · No harm found
Provide appropriate foot care.
Corrected 2023-11-03
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-03
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2023-11-03
F-0761
D · No harm found
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.
Corrected 2023-11-03
F-0791
E · No harm found
Provide or obtain dental services for each resident.
Corrected 2023-11-03
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
F-0867
E · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-03
2026-02-20Fire-safety inspection7 citations
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-06-30
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-06-05
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-06-02
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-06-30
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-06-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-06-12
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-07-31
2024-12-06Fire-safety inspection15 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2025-04-07
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-07
K-0281
D · No harm found
Install proper backup exit lighting.
Corrected 2025-04-07
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-07
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-04-07
K-0352
D · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-04-07
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-07
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-04-07
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-07
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-07
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-07
K-0911
F · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-07
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-07
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-07
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-04-07
2023-10-13Fire-safety inspection7 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2023-12-15
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-15
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-15
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-15
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-12-15
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-12-15
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-12-15

Federal penalties

2024-06-21Fine$16,452
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345285.

Visitor reviews

What people say on Google.
4.025 ratings on Google
★★★★★Sabrina Burrell-Hartzell · 2025-09-12 · via Google

“WOW!!! Can I just say the staff are so attentive. I was looking for placement for my grandma! The front receptionist greeted me with an amazing smile and directed me to their concierge Jonathan. He gave me a wonderful tour of the facility. He even asked me all about my grandma and the things she likes and didn’t like because he wanted to make sure the stay here would be amazing for her. They had…”

★★★★★Kirsten Kern · 2026-02-10 · via Google

“I am a care manager working primarily in Buncombe and Henderson Counties. I am in and out of many facilities. One of my clients was placed in the facility in the early fall. Orchard Valley has been an unexpected Gem. The staff are positive and attentive. There has been excellent communication with all staff, nursing, therapy and social work, The facility is always clean and decorated for the s…”

★★★★★Alix Alfaro · 2026-05-21 · via Google

“My dad has been residing at Orchard Valley for about 7 months and I can’t say how impressed I am with the care he has received. From the initial interaction of moving him in to how involved he is now, is amazing. My dad doesn’t like to get involved in activities, but the staff at Orchard Valley have a way that helps to get him going. I had been praying that the Lord would open the right door for w…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 75 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered